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

Stacy Bloom, RLCSW

Individual provider Clinical Social Worker · NPI 1013120526

Stacy Bloom, RLCSW is a Clinical Social Worker in East Norwich, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

600-11-4B Pine Hollow Rd
East Norwich, NY 11732
Phone: (516) 922-6219
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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 R0423991 (NY)

Record details

NPI number1013120526
Entity typeIndividual (Type 1)
GenderFemale
Credentials RLCSW
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 8, 2007
Mailing address600-11-4b Pine Hollow Road, East Norwich, NY 11732

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