Individual provider · Type 1 NPI

Laura Bloom, LCSW

Clinical Social Worker · Gainesville, VA

NPI number 1194048017 Active

Practice location

7350 Heritage Village Plz, Suite 201
Gainesville, VA 20155-3084

Call (571) 248-0626 Map

Fax (866) 817-3052

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904005151 (VA)

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 1194048017

Laura Bloom, LCSW's National Provider Identifier is 1194048017, issued on Mar 5, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gainesville, VA. The record was last updated on Mar 5, 2010.