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Contact Information

JILL A BLOUNT CLARK, MSW
35 BRITTNEY CV
COUNCE, TN38326
 Phone: 615-653-8194
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JILL A BLOUNT CLARK · (Female)

NPI Number 1366570095
Status Active
Credentials MSW (Master of Science in Social Work)
Entity Individual
Enumeration date 03/02/2007
Last updated 09/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 6760
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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