Active NPIIndividual providerSole proprietor

Ms. Victoria Blom, LCSW

Social Worker, Clinical in Elizabeth, New Jersey

NPI Number1396272142
Practice location
654 E Jersey St, Suite 150C, Elizabeth, NJ 07206-1261
Fax
—
Last updated
May 11, 2017

Victoria Blom is a Social Worker, Clinical based in Elizabeth, NJ. Victoria Blom practices in Elizabeth, NJ and has the professional credentials of LCSW. The NPI Number for Victoria Blom is 1396272142 and holds a License No. 44SC05683600 (NJ). The current practice location address for Victoria Blom is 654 E Jersey St, Suite 150C, Elizabeth, NJ 07206-1261 and can be reached out via phone at 413-885-5763.

Provider Profile Details

NPI Number
1396272142
Provider Name
Victoria Blom
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
654 E Jersey St, Suite 150C, Elizabeth, NJ 07206-1261
Phone Number
413-885-5763
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 11, 2017
Last Update Date
May 11, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
654 E Jersey St
Suite 150C
Elizabeth, NJ 07206-1261
Zip
07206-1261
Phone Number
413-885-5763
Elizabeth, NJ 07206Get directions →

Provider Business Mailing Address Details

Address
115 S Clinton St
Apt. 305
East Orange, NJ 07018-3051
City
East Orange
State
NJ
Zip
07018-3051
Phone Number
413-885-5763

License Information

License Number
44SC05683600
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Victoria Blom, LCSW?

The NPI number of Ms. Victoria Blom, LCSW is 1396272142. It was assigned on May 11, 2017 and is currently active in the NPPES registry.

What is the specialty of Ms. Victoria Blom, LCSW?

Ms. Victoria Blom, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05683600.

Where does Ms. Victoria Blom, LCSW practice?

The practice location is 654 E Jersey St, Suite 150C, Elizabeth, NJ 07206-1261. The office can be reached at 413-885-5763 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396272142 directly on the NPPES registry website.

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