Individual provider · Type 1 NPI

Tracy Blackmon, MSW, LCSW, LCAS

Clinical Social Worker · Goldsboro, NC

NPI number 1942515846 Active

Practice location

1706 Wayne Memorial Dr
Goldsboro, NC 27534-2240

Call (919) 734-6676 Map

Mailing address

305 Jacobs Ridge Dr
Goldsboro, NC 27534-8691

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC007924 (NC)
Clinical Social Worker 1041C0700X1823 (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 1942515846

Tracy Blackmon, MSW, LCSW, LCAS's National Provider Identifier is 1942515846, issued on Aug 16, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Goldsboro, NC. The record was last updated on Feb 27, 2013.