Individual provider · Type 1 NPI

Thomas Blackwell Jr., L.C.S.W.

Clinical Social Worker · Bridgeport, CT

NPI number 1326330424 Active

Practice location

80 Virginia Ave
Bridgeport, CT 06610-1506

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X007599 (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 1326330424

Thomas Blackwell Jr., L.C.S.W.'s National Provider Identifier is 1326330424, issued on May 7, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bridgeport, CT. The record was last updated on May 7, 2011.