Individual provider · Type 1 NPI

Michelle Jordana Bloom, L.C.S.W.

Clinical Social Worker · New York, NY

NPI number 1316240385 Active

Practice location

1651 3rd Ave, Suite 201
New York, NY 10128-3679

Call (516) 526-7120 Map

Mailing address

500 East 83rd Street, Apt 4L
New York, NY 10028

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X72 082712 (NY)
Clinical Social Worker Primary 1041C0700X73081585 (NY)

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 1316240385

Michelle Jordana Bloom, L.C.S.W.'s National Provider Identifier is 1316240385, issued on Dec 14, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on May 13, 2015.