Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACQUELINE CLAIRE BLACKBURN, LCSW
Active Sole ProprietorMS. JACQUELINE CLAIRE BLACKBURN, LCSW is a Clinical Social Worker healthcare provider located in METAMORA, Illinois. NPI 1194558585 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · METAMORA, IL
Registration Details
- NPI Number
- 1194558585
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2024 (1.9703422060311 yrs)
- Last Updated
- Aug 22, 2024
- License
-
149.025801 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
205 S. DAVENPORT STPO BOX 439METAMORA, IL, 61548Browse IL providers · Browse ZIP 61548
- Phone
- 3092168720
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in METAMORA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. JILL S ROBERTS | LCSW | 1013235779 |
| MRS. ALISIA NICOLE QUIGLEY-HOLMBECK | MSW, LCSW | 1629706825 |
| KATHLEEN D GRIFFITH | LCSW | 1407749641 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.