Individual provider · Type 1 NPI

Kelsey L. Bloom, LCSW

Clinical Social Worker · St. Johns, FL

NPI number 1730892365 Active

Practice location

30 Ardisia Ln
St. Johns, FL 32259-3881

Call (904) 376-3800 Map

Fax (904) 390-7458

Mailing address

PO Box 748519
Atlanta, GA 30374-8519

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW20216 (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 1730892365

Kelsey L. Bloom, LCSW's National Provider Identifier is 1730892365, issued on Dec 28, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Johns, FL. The record was last updated on Jan 25, 2024.