NPI 1093064933 · live from the CMS NPI Registry
Joseph Robert Bloom, LCSW
Social Worker, Clinical in Honolulu, HI. National Provider Identifier 1093064933, active.
NPI record
| NPI | 1093064933 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 875 Waimanu St., Ste. 624, Honolulu, HI 96813 |
| Practice phone | 808-721-6737 |
| Mailing address | 2442 Myrtle St, Honolulu, HI 96816 |
| Enumerated | September 6, 2012 |
| Last updated | March 7, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 3782 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.