Individual provider · Type 1 NPI

Tina Ellen Blackwell, LCSW-C

Clinical Social Worker · Reisterstown, MD

NPI number 1487703666 Active

Practice location

37 Main St
Reisterstown, MD 21136-1236

Call (410) 526-7882 Map

Fax (410) 526-9855

Mailing address

4007 Log Trail Way
Reisterstown, MD 21136-1841

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3166 (MD)

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 1487703666

Tina Ellen Blackwell, LCSW-C's National Provider Identifier is 1487703666, issued on Jan 9, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Reisterstown, MD. The record was last updated on Jul 9, 2007.