Individual provider · Type 1 NPI

Crystal Lynn Blakkan

Clinical Social Worker · San Bernardino, CA

NPI number 1003405341 Active

Practice location

1738 N Waterman Ave
San Bernardino, CA 92404-5131

Call (909) 693-3302 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X106370 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003405341

Crystal Lynn Blakkan's National Provider Identifier is 1003405341, issued on Jan 12, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Bernardino, CA. The record was last updated on Jul 3, 2023.