Mrs. Tanya Marie Blackshear, LCSW, LIFECOACH
Mrs. Tanya Marie Blackshear, LCSW, LIFECOACH is a Clinical Social Worker in Champaign, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2010
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
3347 Stoneway CtChampaign, IL 61822-2404
Phone: (217) 721-3062
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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 149.016668 (IL) |
|---|
Record details
| NPI number | 1598068843 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW , LIFECOACH |
| Sole proprietor | Yes |
| NPI enumerated | December 8, 2010 |
| Last updated in NPPES | July 14, 2014 |
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