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

Individual provider Clinical Social Worker · NPI 1992020374

MS. Jacqueline Bloom, LCSW, PHD is a Clinical Social Worker in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1757 Waller St
San Francisco, CA 94117-2727
Phone: (415) 387-3684
Fax: (415) 386-0959
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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 21324 (CA)

Record details

NPI number1992020374
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , PHD
Sole proprietorYes
NPI enumeratedMarch 29, 2010
Last updated in NPPESMarch 29, 2010

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