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

Magdalena Bloom, LICSW

Individual provider Clinical Social Worker · NPI 1083378400

Magdalena Bloom, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2021
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

1201 Harmon Pl
Minneapolis, MN 55403-2043
Phone: (612) 313-3240
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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 114434 (IA)

Record details

NPI number1083378400
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 22, 2021
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024

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