Individual provider · Type 1 NPI

Mariann Blacconiere, LCSW

Clinical Social Worker · Hines, IL

NPI number 1093769622 Active

Practice location

5th Ave
Hines, IL 60141

Mailing address

240 Whitehall Dr
Northlake, IL 60164-1725

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1093769622

Mariann Blacconiere, LCSW's National Provider Identifier is 1093769622, issued on May 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hines, IL. The record was last updated on Jul 13, 2026.