Authentic Bloom Therapy LCSW PLLC
Authentic Bloom Therapy LCSW PLLC provides Clinical Social Worker services in New York, New York. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
353 E 78th St Apt 3DNew York, NY 10075-1321
Phone: (646) 598-3818
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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 |
|---|
Record details
| NPI number | 1376452862 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tara Waldman — Psychotherapist/Owner · (646) 598-3818 |
| NPI enumerated | September 2, 2026 |
| Last updated in NPPES | September 2, 2026 |
| Certification date | September 2, 2026 |
| Mailing address | 353 E 78th St Apt 3d, New York, NY 10075-1321 |
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