Stacy Bloom is a Clinical in East Norwich, New York. Stacy Bloom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacy Bloom is 1013120526. The last update date is 2007-07-08.
Stacy Bloom's current location address is 600-11-4b Pine Hollow Road, East Norwich, New York. You can contact this provider via phone number 5169226219. The mailing address for Stacy Bloom is 600-11-4b Pine Hollow Road, East Norwich, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Bloom |
|---|---|
| Address | 600-11-4b Pine Hollow Road, East Norwich, New York |
| Phone Number | 5169226219 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | R LCSW |
NPI Number Detail
| NPI Number | 1013120526 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 600-11-4b Pine Hollow Road |
|---|---|
| City | East Norwich |
| State | New York (NY) |
| Post Code | 11732 |
| Phone Number | 5169226219 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R0423991 |
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Definition: 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, certif |
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Post Comment/ Review Below
What is the unique identification code assigned to Stacy Bloom by the Centers for Medicare & Medicaid Services?
The Stacy Bloom has been issued the NPI (National Provider Identifier) 1013120526. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Stacy Bloom is geographically located?
The Stacy Bloom is physically situated at the following location: 600-11-4B Pine Hollow Road, East Norwich, NY, 11732.
What is Stacy Bloom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stacy Bloom's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1013120526 assigned to Stacy Bloom?
The Stacy Bloom was issued its 1013120526 on 2007-05-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Stacy Bloom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stacy Bloom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.