Organization · Type 2 NPI

Lumen Bloom Therapy, PLLC

Clinical Social Worker · Bloomington, IL

NPI number 1184514077 Active

Practice location

203 Leland St
Bloomington, IL 61701-5643

Call (815) 324-4770 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1184514077

Lumen Bloom Therapy, PLLC's National Provider Identifier is 1184514077, issued on Jul 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IL. The record was last updated on Jul 28, 2025.