Individual provider · Type 1 NPI
Christian A. Blackwell
Clinical Social Worker · Maplewood, NJ
Practice location
274 Boyden Ave
Maplewood, NJ 07040-3010
Mailing address
4 S Orange Ave # 1164
South Orange, NJ 07079-1702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker | 1041S0200X | 44SL06659700 (NJ) |
| Clinical Social Worker Primary | 1041C0700X | 44SL06659700 (NJ) |
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 1457072654
Christian A. Blackwell's National Provider Identifier is 1457072654, issued on Sep 6, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maplewood, NJ. The record was last updated on Sep 6, 2022.