Individual provider · Type 1 NPI

Avery Blackwell, MSW, LCSWA

Clinical Social Worker · Lillington, NC

NPI number 1891205928 Active

Practice location

68 Stewart Town Rd
Lillington, NC 27546-6398

Mailing address

4861 Pinnacle Dr
Stone Mountain, GA 30088-2374

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC015629 (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 1891205928

Avery Blackwell, MSW, LCSWA's National Provider Identifier is 1891205928, issued on Oct 3, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lillington, NC. The record was last updated on Dec 16, 2025.