Individual provider · Type 1 NPI

Kymberlee A. Blackford

Clinical Social Worker · Milwaukee, WI

NPI number 1811669765 Active

Practice location

777 N Jefferson St, Ste 408 Pmb 1250
Milwaukee, WI 53202-1924

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X33009525A (IN)
Clinical Social Worker Primary 1041C0700X11603-123 (WI)

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 1811669765

Kymberlee A. Blackford's National Provider Identifier is 1811669765, issued on Sep 29, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 31, 2025.