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

Individual provider Clinical Social Worker · NPI 1083846711

Mrs. Joan Bancvetz Blackman, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2009
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2800 University Ave SE
Minneapolis, MN 55414-3232
Phone: (612) 331-4429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2925 Chicago Ave, Minneapolis, MN 55407-1321 — (866) 603-0016

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 17053 (MN)

Record details

NPI number1083846711
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 13, 2009
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

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