Individual provider · Type 1 NPI

Victoria Blom, LCSW

Clinical Social Worker · Elizabeth, NJ

NPI number 1396272142 Active

Practice location

654 E Jersey St, Suite 150C
Elizabeth, NJ 07206-1261

Mailing address

115 S Clinton St, Apt. 305
East Orange, NJ 07018-3051

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05683600 (NJ)

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 1396272142

Victoria Blom, LCSW's National Provider Identifier is 1396272142, issued on May 11, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elizabeth, NJ. The record was last updated on May 11, 2017.