Individual provider · Type 1 NPI

Amy Blackmore, LCSW

Clinical Social Worker · Peoria, IL

NPI number 1902789670 Active

Practice location

228 NE Jefferson Ave
Peoria, IL 61603-3802

Call (309) 671-8000 Map

Mailing address

1107 W Mcclure Ave
Peoria, IL 61604-3363

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.0209406 (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 1902789670

Amy Blackmore, LCSW's National Provider Identifier is 1902789670, issued on Jul 29, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peoria, IL. The record was last updated on Jul 29, 2025.