Individual provider · Type 1 NPI

Jacquelyn Mae Block, MFT, LCSW, LMFT

Clinical Social Worker · Fond Du Lac, WI

NPI number 1336360429 Active

Practice location

430 E Division St
Fond Du Lac, WI 54935-4560

Call (920) 926-4209 Map

Mailing address

420 E Division St
Fond Du Lac, WI 54935-4560

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X226-124 (WI)
Clinical Social Worker Primary 1041C0700X2841-123 (WI)

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 1336360429

Jacquelyn Mae Block, MFT, LCSW, LMFT's National Provider Identifier is 1336360429, issued on May 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fond Du Lac, WI. The record was last updated on Dec 16, 2020.