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

Ingrid A Bloom, LICSW

Individual provider Social Worker · NPI 1053530261

Ingrid A Bloom, LICSW is a Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

12 S 6th St #1137
Minneapolis, MN 55402
Phone: (612) 722-7414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 01806 (MN)

Record details

NPI number1053530261
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESJuly 8, 2007
Mailing address3637 46th Ave S, Minneapolis, MN 55406

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