Individual provider · Type 1 NPI

Alexander Geoffrey Bloom, LCSW

Clinical Social Worker · Kentfield, CA

NPI number 1144503772 Active

Practice location

1030 Sir Francis Drake Blvd
Kentfield, CA 94904-1411

Mailing address

30 La Placita Ct
Novato, CA 94945-1244

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700XLCSW76478 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1144503772

Alexander Geoffrey Bloom, LCSW's National Provider Identifier is 1144503772, issued on Sep 20, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kentfield, CA. The record was last updated on Feb 5, 2023.