Individual
MR. JONATHAN MICHAEL BLACKWELL-RODGERS
Active
Individual
MR. JONATHAN MICHAEL BLACKWELL-RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW LMSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
SW12893
PA
104100000X
Social Worker
Primary
SW128930
PA
1041C0700X
Clinical Social Worker
Primary
CW027115
PA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/18/2011
Last updated
03/28/2026
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