Individual provider · Type 1 NPI

Mary Louise Blankenburg, LISW

Clinical Social Worker · Iowa City, IA

NPI number 1104840347 Active

Practice location

20 S Van Buren St
Iowa City, IA 52240-1821

Mailing address

PO Box 1073
Iowa City, IA 52244-1073

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X01283 (IA)

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 1104840347

Mary Louise Blankenburg, LISW's National Provider Identifier is 1104840347, issued on Jul 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Iowa City, IA. The record was last updated on Jul 9, 2007.