Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bloom Space Counseling, PLLC

Organization Clinical Social Worker · NPI 1376222984

Bloom Space Counseling, PLLC is a Clinical Social Worker in Dixon, Illinois. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

315 S Peoria Ave
Dixon, IL 61021-2956
Phone: (815) 677-6280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 446 River Bluff Dr, Dixon, IL 61021-8768 — (815) 677-6280

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1376222984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica West — Owner/Operator · (815) 677-6280
NPI enumeratedJuly 12, 2023
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address446 River Bluff Dr, Dixon, IL 61021-8768

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