Individual provider · Type 1 NPI

Maria Regina Blackburn, MSW

Clinical Social Worker · Orland Park, IL

NPI number 1699138016 Active

Practice location

15127 S 73rd Ave Ste G
Orland Park, IL 60462-3425

Call (708) 845-5500 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149022831 (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 1699138016

Maria Regina Blackburn, MSW's National Provider Identifier is 1699138016, issued on Apr 2, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Orland Park, IL. The record was last updated on May 27, 2025.