IndividualActive
Ingrid Bloom, LICSW
NPI 1053530261 · Social Worker · Minneapolis, MN
Ingrid Bloom, LICSW is a Social Worker provider in Minneapolis, MN (NPI 1053530261).
Provider details
- NPI number
- 1053530261
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 01806 (MN)
Practice location
12 S 6th St
#1137
Minneapolis, MN 55402
Phone: (612) 722-7414
Street-level locationGet directions
Mailing address
3637 46th Ave S
Minneapolis, MN 55406
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.