Individual provider · Type 1 NPI

Jennifer Blackburn, LCSW

Clinical Social Worker · Murray, UT

NPI number 1396166492 Active

Practice location

5373 S Green St Ste 400
Murray, UT 84123-4740

Call (833) 442-2670 Map

Fax (801) 442-2671

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11818566-3501 (UT)
Clinical Social Worker 1041C0700X150.014503 (IL)

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 1396166492

Jennifer Blackburn, LCSW's National Provider Identifier is 1396166492, issued on Dec 17, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Murray, UT. The record was last updated on Jun 8, 2026.