Individual provider · Type 1 NPI

Jacqueline Bloom, LCSW, PhD

Clinical Social Worker · San Francisco, CA

NPI number 1992020374 Active

Practice location

1757 Waller St
San Francisco, CA 94117-2727

Call (415) 387-3684 Map

Fax (415) 386-0959

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X21324 (CA)

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 1992020374

Jacqueline Bloom, LCSW, PhD's National Provider Identifier is 1992020374, issued on Mar 29, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Francisco, CA. The record was last updated on Mar 29, 2010.