Bloom, Kelsey L.
Bloom, Kelsey L. is an individual health care provider with primary practice located at 30 Ardisia Ln , Saint Johns FL 32259-3881. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloom, Kelsey L. can be contacted via phone (904) 376-3800.Contact Information
Primary practice address
30 Ardisia Ln
Saint Johns FL 32259-3881
Phone: (904) 376-3800
Fax: (904) 390-7458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW20216 | Florida |
Profile Details
| NPI number | 1730892365 |
|---|---|
| LBN Legal business name | Bloom, Kelsey L. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2022 |
| Last updated | Jan 25th, 2024 - 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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