Individual provider · Type 1 NPI

Judith F. Bloom, LICSW

Clinical Social Worker · Old Saybrook, CT

NPI number 1497810683 Active

Practice location

20 Research Pkwy, Suite C
Old Saybrook, CT 06475-4214

Call (800) 370-3651 Map

Fax (860) 510-0020

Mailing address

10 Grotto Ave
Providence, RI 02906-5517

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW01344 (RI)

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 1497810683

Judith F. Bloom, LICSW's National Provider Identifier is 1497810683, issued on Dec 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Old Saybrook, CT. The record was last updated on Aug 9, 2013.