NPI
Kristin Bloomer Archdeacon
NPI 1427759406
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- LCSW
- Type
- Individual
- Enumeration date
- 2023-03-15
- Last updated
- 2023-03-15
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Specialties
Licenses
- License CA
- LCSW80860
Location
- Practice location
- 725 E Santa Clara St Ste 105
- City
- San Jose CA
- Postal code
- 95112-1936
- Phone
- (408) 961-4645
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in San Jose, CA. 25,093 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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