Individual provider · Type 1 NPI
Regina A. Blackwolf, MSW, LICSW
Clinical Social Worker · Everett, WA
Practice location
12812 3rd Ave SE Ste A
Everett, WA 98208-6455
Fax (206) 319-5325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00005962 (WA) |
| Clinical Social Worker Primary | 1041C0700X | LW60083962 (WA) |
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…
3 other providers at this address
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About NPI 1184777252
Regina A. Blackwolf, MSW, LICSW's National Provider Identifier is 1184777252, issued on Jan 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Everett, WA. The record was last updated on Mar 3, 2023.