KATHERINE BLACKWELL, LCSW - LIFE SERVICES
NPI 1194077222
Social Worker - Clinical in Mount Dora, FL

Active since October 12, 2012
2117 STEWART LN, MOUNT DORA, FL 32757(352) 409-4077 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katherine Blackwell, Lcsw - Life Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE BLACKWELL, LCSW - LIFE SERVICES (NPI 1194077222) is a healthcare organization registered as a clinical in Mount Dora, Florida and active in the NPI registry since October 2012. The organization lists Katherine Blackwell, Manager, as its authorized official.

NPPES Registry Identity

NPI1194077222
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKATHERINE BLACKWELL, LCSW - LIFE SERVICES
Location Address2117 STEWART LNMount Dora, FL 32757-9507
Mailing Address2117 Stewart LnMount Dora, FL 32757-9507 · (352) 409-4077
Organization SubpartNo
Authorized OfficialKatherine BlackwellManager · (352) 409-4077
Enumeration DateOctober 12, 2012
NPI 1194077222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in FL · SW9581
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2117 STEWART LN, Mount Dora, FL 32757

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2117 STEWART LN
MOUNT DORA, FL 32757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Blackwell, Lcsw - Life Services's NPI number?

The NPI number for Katherine Blackwell, Lcsw - Life Services is 1194077222. It was assigned to this organization in the NPPES registry on October 12, 2012.

Where is Katherine Blackwell, Lcsw - Life Services located?

Katherine Blackwell, Lcsw - Life Services is located at 2117 Stewart Ln, Mount Dora, FL 32757. The listed phone number is (352) 409-4077.

What is Katherine Blackwell, Lcsw - Life Services's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Katherine Blackwell, Lcsw - Life Services was last updated on October 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.