Organization · Type 2 NPI

Authentic Bloom Therapy LCSW PLLC

Clinical Social Worker · New York, NY

NPI number 1376452862 Active

Practice location

353 E 78th St Apt 3D
New York, NY 10075-1321

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…

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About NPI 1376452862

Authentic Bloom Therapy LCSW PLLC's National Provider Identifier is 1376452862, issued on Sep 2, 2026. 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 Sep 2, 2026.