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STACY BLOOM R LCSW
NPI 1013120526
Social Worker - Clinical in East Norwich, NY

Active since May 08, 2007
600-11-4B PINE HOLLOW ROAD, EAST NORWICH, NY 11732(516) 922-6219 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Bloom R Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY BLOOM R LCSW (NPI 1013120526) is an individual clinical provider in East Norwich, New York, licensed in New York (R0423991) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1013120526
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY BLOOMCredential: R LCSW
Location Address600-11-4B PINE HOLLOW ROADEast Norwich, NY 11732
Mailing Address600-11-4b Pine Hollow RoadEast Norwich, NY 11732 · (516) 922-6219
Phone(516) 922-6219
Sole ProprietorNo
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013120526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R0423991
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
600-11-4B PINE HOLLOW ROAD, East Norwich, NY 11732
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Bloom's NPI number?

The NPI number for Stacy Bloom is 1013120526. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Stacy Bloom located?

Stacy Bloom practices at 600-11-4b Pine Hollow Road, East Norwich, NY 11732. The listed phone number is (516) 922-6219.

What is Stacy Bloom's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Stacy Bloom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.