Bloom, Alexander Geoffrey

Bloom, Alexander Geoffrey is an sole proprietor health care provider with primary practice located at 1030 Sir Francis Drake Blvd , Kentfield CA 94904-1411. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bloom, Alexander Geoffrey can be contacted via phone (152) 467-5224.

Contact Information

Primary practice address
1030 Sir Francis Drake Blvd Kentfield CA 94904-1411
Phone: (152) 467-5224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW76478 California

Profile Details

NPI number 1144503772
LBN Legal business name Bloom, Alexander Geoffrey
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2011
Last updated Feb 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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