Bloom, Deena

Bloom, Deena is an sole proprietor health care provider with primary practice located at 160 Fairview Ave Ste 99 , Hudson NY 12534-8404. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bloom, Deena can be contacted via phone (518) 245-6272.

Contact Information

Primary practice address
160 Fairview Ave Ste 99 Hudson NY 12534-8404
Phone: (518) 245-6272
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 096081 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 091995 New York

Profile Details

NPI number 1780057208
LBN Legal business name Bloom, Deena
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2015
Last updated Mar 25th, 2022 - 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.

Request for update

Popular Providers