Individual provider · Type 1 NPI

Krista A. Bloom, L.C.S.W

Clinical Social Worker · Plantation, FL

NPI number 1184651432 Active

Practice location

7500 NW 5th St, SUITE#111
Plantation, FL 33317-1612

Mailing address

10229 NW 33rd St
Sunrise, FL 33351-6910

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW5499 (FL)

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 1184651432

Krista A. Bloom, L.C.S.W's National Provider Identifier is 1184651432, issued on Jun 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plantation, FL. The record was last updated on Jul 8, 2007.