Organization · Type 2 NPI

Amanda Blackwell, PLLC

Clinical Social Worker · Clemmons, NC

NPI number 1235881004 Active

Practice location

6255 Towncenter Dr Ste 893
Clemmons, NC 27012-9376

Fax (336) 792-2671

Mailing address

815 Madison Ave
Winston Salem, NC 27103-3746

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1235881004

Amanda Blackwell, PLLC's National Provider Identifier is 1235881004, issued on Jan 24, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clemmons, NC. The record was last updated on Apr 18, 2024.