Individual provider · Type 1 NPI

Mary Jayne Blacklin, LCSW

Clinical Social Worker · St. Petersburg, FL

NPI number 1306869128 Active

Practice location

10000 Bay Pines Blvd
St. Petersburg, FL 33744

Fax (727) 319-1330

Mailing address

1131 Jackson St
Largo, FL 33770-4384

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW6058 (FL)

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 1306869128

Mary Jayne Blacklin, LCSW's National Provider Identifier is 1306869128, issued on Jul 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 8, 2007.