Individual provider · Type 1 NPI

Joan Bancvetz Blackman, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1083846711 Active

Practice location

2800 University Ave SE
Minneapolis, MN 55414-3232

Call (612) 331-4429 Map

Mailing address

313 Madison Ave S
Edina, MN 55343

Other practice locations

  • 2925 Chicago Ave, Minneapolis, MN 55407-1321 · (866) 603-0016

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X17053 (MN)

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 1083846711

Joan Bancvetz Blackman, LICSW's National Provider Identifier is 1083846711, issued on Aug 13, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 13, 2026.