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Ms. Jacquelyn Mae Block, MFT,LCSW,LMFT
Clinical Social Worker in Fond Du Lac, Wisconsin
NPI 1336360429

Jacquelyn Mae Block is a Clinical Social Worker based in Fond Du Lac, WI and is specialized in Clinical. Jacquelyn Mae Block practices in Fond Du Lac, WI and has the professional credentials of MFT,LCSW,LMFT. The NPI Number for Jacquelyn Mae Block is 1336360429 and holds a License No. 226-124 (Wisconsin).

The current practice location address for Jacquelyn Mae Block is 430 E Division St, Fond Du Lac, WI and can be reached out via phone at 920-926-4209.

Location: 430 E Division St, Fond Du Lac, WI, 54935-4560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336360429
Provider Name
Jacquelyn Mae Block
Credential
MFT,LCSW,LMFT
Provider Entity Type
Individual
Gender
Female
Address
430 E Division St, Fond Du Lac, WI, 54935-4560
Phone Number
920-926-4209
Fax Number
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
226-124 01 WI LMFT
2841-123 01 WI LCSW
institution
Provider Business Practice Location Address Details
Address
430 E Division St
City
Fond Du Lac
State
Wisconsin
Zip
54935-4560
Phone Number
920-926-4209
Fax Number
person
Provider Business Mailing Address Details
Address
430 E Division St
City
Fond Du Lac
State
Wisconsin
Zip
54935-4560
Phone Number
920-926-4209
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
2841-123 (Wisconsin)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
226-124 (Wisconsin)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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