Individual provider · Type 1 NPI

Nicole Marie Blackman, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1346380334 Active

Practice location

3020 Children's Way, Mc 5100
San Diego, CA 92123

Fax (619) 615-0705

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X20230 (CA)
Clinical Social Worker Primary 1041C0700X29180 (CA)

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 1346380334

Nicole Marie Blackman, LCSW's National Provider Identifier is 1346380334, issued on Feb 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Mar 4, 2021.