Individual provider · Type 1 NPI
Cindy Blacklidge, LCSW
Clinical Social Worker · Fort Eustis, VA
Practice location
1177 Pershing Ave
Fort Eustis, VA 23604-1406
Mailing address
5116 N Highway 61
St. Mary, MO 63673-7102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904017812 (VA) |
| Clinical Social Worker | 1041C0700X | C10541 (MS) |
| Clinical Social Worker Primary | 1041C0700X | 2017043723 (MO) |
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 1013513894
Cindy Blacklidge, LCSW's National Provider Identifier is 1013513894, issued on Dec 8, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Eustis, VA. The record was last updated on Jan 20, 2025.