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

MS. Jacqueline Claire Blackburn, LCSW

Individual provider Clinical Social Worker · NPI 1194558585

MS. Jacqueline Claire Blackburn, LCSW is a Clinical Social Worker in Metamora, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

205 S Davenport St Po Box 439
Metamora, IL 61548
Phone: (309) 216-8720
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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 149.025801 (IL)

Record details

NPI number1194558585
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 22, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 21, 2024

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