Individual provider · Type 1 NPI
Tanya Marie Blackshear, LCSW, LIFE COACH
Clinical Social Worker · Champaign, IL
Practice location
3347 Stoneway Ct
Champaign, IL 61822-2404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.016668 (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 1598068843
Tanya Marie Blackshear, LCSW, LIFE COACH's National Provider Identifier is 1598068843, issued on Dec 8, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Champaign, IL. The record was last updated on Jul 14, 2014.