Bradley W Bloom Lcsw Llc

LBN: Bradley W Bloom Lcsw Llc
Bradley W Bloom Lcsw Llc is an health care organization with primary practice located at 110 Oldfield Dr , Fairfield CT 06824-6414. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as the primary health care specialty. Bradley W Bloom Lcsw Llc can be contacted via phone (203) 451-1599, or through Bloom, Bradley Warren via phone (203) 451-1599.

Contact Information

Primary practice address
110 Oldfield Dr Fairfield CT 06824-6414
Phone: (203) 451-1599
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bloom, Bradley Warren Licensed Clinical Social Worker (LCSW)
Phone: (203) 451-1599

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 005722 Connecticut
Behavioral Health & Social Service Providers / Social Worker 104100000X 034343 New York

Profile Details

NPI number 1992983027
LBN Legal business name Bradley W Bloom Lcsw Llc
DBA Doing business as
Authorized official Bloom, Bradley Warren Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2008
Last updated Sep 8th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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