Individual provider · Type 1 NPI
Bradley Warren Bloom
Clinical Social Worker · Southport, CT
Practice location
1101 Mill Hill Rd
Southport, CT 06890-3020
Fax (203) 451-1599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 005722 (CT) |
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 1285424804
Bradley Warren Bloom's National Provider Identifier is 1285424804, issued on May 7, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southport, CT. The record was last updated on May 7, 2025.