Individual provider · Type 1 NPI

Robineta Jovonne Montelina Blackston, LCSW-A

Clinical Social Worker · Selma, NC

NPI number 1568835403 Active

Practice location

1420A S Pollock St
Selma, NC 27576-3404

Fax (919) 351-0814

Mailing address

615 Tuskeegee St SE
Wilson, NC 27893-6490

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP009480 (NC)

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 1568835403

Robineta Jovonne Montelina Blackston, LCSW-A's National Provider Identifier is 1568835403, issued on Oct 31, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Selma, NC. The record was last updated on Oct 31, 2015.