Individual provider · Type 1 NPI

Debra Kay Bloom, LCSW

Clinical Social Worker · New Haven, CT

NPI number 1972655694 Active

Practice location

34 Park St, Office Of Care Management
New Haven, CT 06519

Call (203) 974-7417 Map

Fax (203) 974-7413

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X004487 (CT)

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 1972655694

Debra Kay Bloom, LCSW's National Provider Identifier is 1972655694, issued on Jan 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Haven, CT. The record was last updated on Jul 8, 2007.