Individual provider · Type 1 NPI

E. Lawrence Blackwell Jr., LCSW, CAC

Clinical Social Worker · Glastonbury, CT

NPI number 1285861716 Active

Practice location

140 Glastonbury Blvd, Somerset Sq. 2nd Floor
Glastonbury, CT 06033-4402

Call (860) 212-5824 Map

Mailing address

81 Redwood Rd
Manchester, CT 06040-6329

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X004581 (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 1285861716

E. Lawrence Blackwell Jr., LCSW, CAC's National Provider Identifier is 1285861716, issued on Jun 10, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glastonbury, CT. The record was last updated on Jun 10, 2009.