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NPI 1447134853 · live from the CMS NPI Registry

Bond & Bloom

Social Worker, Clinical in Charleston, WV. National Provider Identifier 1447134853, active.

NPI record

NPI1447134853 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location1641 Massey Cir, Charleston, WV 25303
Practice phone864-251-5171
EnumeratedJuly 31, 2025
Last updatedJuly 31, 2025
Authorized officialAutumn Williamson, Mental Health Therapist
Other namesBond & Bloom Mental Health Counseling And Consulting

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.