Individual provider · Type 1 NPI

Lydia Janette Bloem, LLMSW

Clinical Social Worker · Traverse City, MI

NPI number 1679359111 Active

Practice location

2150 W. South Airport Road, Suite C & D
Traverse City, MI 49684

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801121970 (MI)

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 1679359111

Lydia Janette Bloem, LLMSW's National Provider Identifier is 1679359111, issued on Aug 31, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Traverse City, MI. The record was last updated on Aug 10, 2026.