Blackwell, Jeannine

Blackwell, Jeannine is an individual health care provider with primary practice located at 14527 7Th St , Dade City FL 33523-3102. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blackwell, Jeannine can be contacted via phone (352) 345-1235.

Contact Information

Primary practice address
14527 7Th St Dade City FL 33523-3102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 13385 Florida

Profile Details

NPI number 1699137950
LBN Legal business name Blackwell, Jeannine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2016
Last updated Mar 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers