Individual provider · Type 1 NPI

Jessica Lynne Blankenship, LCSW

Clinical Social Worker · Bristol, CT

NPI number 1104975937 Active

Practice location

420 N Main St
Bristol, CT 06010-4923

Call (860) 583-5858 Map

Mailing address

11 Boulder Rdg
Southington, CT 06489-1088

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X007322 (CT)

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 1104975937

Jessica Lynne Blankenship, LCSW's National Provider Identifier is 1104975937, issued on Jan 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bristol, CT. The record was last updated on Dec 16, 2016.