Individual provider · Type 1 NPI

Jacqueline Claire Blackburn, LCSW

Clinical Social Worker · Metamora, IL

NPI number 1194558585 Active

Practice location

205 S. Davenport St, PO Box 439
Metamora, IL 61548

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.025801 (IL)

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 1194558585

Jacqueline Claire Blackburn, LCSW's National Provider Identifier is 1194558585, issued on Aug 22, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Metamora, IL. The record was last updated on Aug 22, 2024.