Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquona Blackwell

Individual provider Clinical Social Worker · NPI 1770428286

Jacquona Blackwell is a Clinical Social Worker in Passaic, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2026

Practice location Address checks out

532 McKinley St
Passaic, NJ 07055-2218
Phone: (862) 383-6823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SL07433600 (NJ)

Record details

NPI number1770428286
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address532 McKinley St, Passaic, NJ 07055-2218

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