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

MS. Phyllis Bloom, LSW, LAC

Individual provider Social Worker · NPI 1750398640

MS. Phyllis Bloom, LSW, LAC is a Social Worker in NY, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

875 Sixth Ave Ste #1108
NY, NY 10001
Phone: (212) 967-1393
Fax: (212) 967-5996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 203-1 (NY)
Social Worker Taxonomy 104100000X · Licence R0162401 (NY)

Record details

NPI number1750398640
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW , LAC
Sole proprietorYes
NPI enumeratedAugust 2, 2006
Last updated in NPPESSeptember 11, 2025

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