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

Deena Bloom, LCSW

Individual provider Social Worker · NPI 1780057208

Deena Bloom, LCSW is a Clinical Social Worker in Kingston, New York. Qualified in 2015, 11 years ago. Practices with Clearwater Counseling Associates LCSW PLLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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

721 Broadway Ste 270
Kingston, NY 12401-3449
Phone: (518) 245-6272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 160 Fairview Ave Ste 99, Hudson, NY 12534-8404 — (518) 245-6272

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 091995 (NY)
Social Worker Taxonomy 104100000X · Licence 096081 (NY)

Record details

NPI number1780057208
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 5, 2015
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address721 Broadway Ste 270, Kingston, NY 12401-3449

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Clearwater Counseling Associates Lcsw Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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