Organization · Type 2 NPI

Wild Bloom Psychotherapy, LLC

Clinical Social Worker · Iowa City, IA

NPI number 1396640264 Active

Practice location

2416 Towncrest Dr
Iowa City, IA 52240-6622

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 1396640264

Wild Bloom Psychotherapy, LLC's National Provider Identifier is 1396640264, issued on Oct 12, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Iowa City, IA. The record was last updated on Oct 12, 2026.