NPI 1265864425 · live from the CMS NPI Registry
Philip Bloomer, LCSW
Social Worker, Clinical in Huntington, WV. National Provider Identifier 1265864425, active.
NPI record
| NPI | 1265864425 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 800 20th St, Huntington, WV 25703 |
| Practice phone | 304-696-8700 |
| Enumerated | July 30, 2013 |
| Last updated | September 11, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | 5152 (KY) |
| Social Worker, Clinical primary | 1041C0700X | DP00945355 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.