Individual provider · Type 1 NPI

Lynn Marie Bloom, LICSW

Clinical Social Worker · Golden Valley, MN

NPI number 1255734240 Active

Practice location

5905 Golden Valley Rd, Suite 100
Golden Valley, MN 55422-4463

Call (763) 225-4052 Map

Fax (888) 965-5130

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X302028 (MN)
Clinical Social Worker Primary 1041C0700X14996 (MN)

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 1255734240

Lynn Marie Bloom, LICSW's National Provider Identifier is 1255734240, issued on Oct 3, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Golden Valley, MN. The record was last updated on Oct 3, 2014.