Provider Demographics
NPI:1770606378
Name:BLOCH, ARNOLD (LCSW)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:
Last Name:BLOCH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 RED CEDAR PL UNIT 305
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-5408
Mailing Address - Country:US
Mailing Address - Phone:805-796-9540
Mailing Address - Fax:
Practice Address - Street 1:1937 PROSSER AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5928
Practice Address - Country:US
Practice Address - Phone:805-796-9540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS135231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical