Individual provider · Type 1 NPI

Jennifer C. Blaisdell

Clinical Social Worker · Livonia, MI

NPI number 1336717123 Active

Practice location

14392 Hubbard St
Livonia, MI 48154-4146

Mailing address

231 State St Ste 6
Petoskey, MI 49770-2785

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801095531 (MI)

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 1336717123

Jennifer C. Blaisdell's National Provider Identifier is 1336717123, issued on Jun 16, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Livonia, MI. The record was last updated on Jun 16, 2021.