Individual provider · Type 1 NPI

Jeannine Blackwell, LCSW

Clinical Social Worker · Dade City, FL

NPI number 1699137950 Active

Practice location

14527 7th St
Dade City, FL 33523-3102

Call (352) 345-1235 Map

Mailing address

27221 State Road 56 # 139
Wesley Chapel, FL 33544-8832

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW 13385 (FL)

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 1699137950

Jeannine Blackwell, LCSW's National Provider Identifier is 1699137950, issued on Mar 25, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dade City, FL. The record was last updated on Mar 25, 2016.