Bloom, Kira
Bloom, Kira is an individual health care provider with primary practice located at 2235 Cleveland Rd , South Bend IN 46628-3529. 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, Kira can be contacted via phone (574) 647-4530.Contact Information
Primary practice address
2235 Cleveland Rd
South Bend IN 46628-3529
Phone: (574) 647-4530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34009847A | Indiana |
Profile Details
| NPI number | 1316403033 |
|---|---|
| LBN Legal business name | Bloom, Kira |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2019 |
| Last updated | Apr 28th, 2023 - about 3 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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