Organization · Type 2 NPI

Bloom Space Counseling, PLLC

Clinical Social Worker · Dixon, IL

NPI number 1376222984 Active

Practice location

315 S Peoria Ave
Dixon, IL 61021-2956

Mailing address

446 River Bluff Dr
Dixon, IL 61021-8768

Other practice locations

  • 446 River Bluff Dr, Dixon, IL 61021-8768 · (815) 677-6280

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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…

2 other providers at this address

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About NPI 1376222984

Bloom Space Counseling, PLLC's National Provider Identifier is 1376222984, issued on Jul 12, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dixon, IL. The record was last updated on Jul 12, 2023.