Individual provider · Type 1 NPI

Audrey Bloom, LCSW

Clinical Social Worker · Miami, FL

NPI number 1487948972 Active

Practice location

2000 S Dixie Hwy, Suite 104, Coconut Grove Center
Miami, FL 33133-2456

Mailing address

17142 SW 112th Ct
Miami, FL 33157-3907

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10388 (FL)

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 1487948972

Audrey Bloom, LCSW's National Provider Identifier is 1487948972, issued on Jun 2, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Miami, FL. The record was last updated on Jun 2, 2011.