Individual provider · Type 1 NPI

Stephanie Anne Blackburn, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1700197159 Active

Practice location

4412 Park Rd
Charlotte, NC 28209-3130

Call (980) 217-6901 Map

Mailing address

7503 Potter Rd S
Waxhaw, NC 28173-9242

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC007732 (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 1700197159

Stephanie Anne Blackburn, LCSW's National Provider Identifier is 1700197159, issued on Jun 30, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Jan 10, 2024.