Individual provider · Type 1 NPI

Nathan Allen Blasa, LCSW

Clinical Social Worker · Jerseyville, IL

NPI number 1225604499 Active

Practice location

1006 IL-16
Jerseyville, IL 62052

Mailing address

20921 S Creek Rd
Grafton, IL 62037-2037

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149023186 (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 1225604499

Nathan Allen Blasa, LCSW's National Provider Identifier is 1225604499, issued on May 28, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jerseyville, IL. The record was last updated on May 28, 2021.