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

Lynn Marie Bloom, LICSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255734240

Lynn Marie Bloom, LICSW is an Addiction (Substance Use Disorder) Counselor in Golden Valley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

5905 Golden Valley Rd Ste 100
Golden Valley, MN 55422-4463
Phone: (763) 225-4052
Fax: (888) 965-5130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 14996 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 302028 (MN)

Record details

NPI number1255734240
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 3, 2014
Last updated in NPPESOctober 3, 2014

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