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

Alexander Geoffrey Bloom, LCSW

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144503772

Alexander Geoffrey Bloom, LCSW is a Student in an Organized Health Care Education/Training Program in Kentfield, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1030 Sir Francis Drake Blvd
Kentfield, CA 94904-1411
Phone: (152) 467-5224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW76478 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144503772
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 20, 2011
Last updated in NPPESFebruary 5, 2023
Certification dateFebruary 5, 2023

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