Samantha Blackadar, LCSW, LICSW
Social Worker, Clinical in South Portland, Maine
1164068128- Practice location
- 100 Gannett Dr, South Portland, ME 04106-5900
- Phone
- 207-854-1030
- Fax
- —
- Last updated
- November 25, 2019
Samantha Blackadar is a Social Worker, Clinical based in South Portland, ME. Samantha Blackadar practices in South Portland, ME and has the professional credentials of LCSW, LICSW. The NPI Number for Samantha Blackadar is 1164068128 and holds a License No. LC18385. The current practice location address for Samantha Blackadar is 100 Gannett Dr, South Portland, ME 04106-5900 and can be reached out via phone at 207-854-1030.
Provider Profile Details
- NPI Number
- 1164068128
- Provider Name
- Samantha Blackadar
- Credential
- LCSW, LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Gannett Dr, South Portland, ME 04106-5900
- Phone Number
- 207-854-1030
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 25, 2019
- Last Update Date
- November 25, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Gannett Dr
South Portland, ME 04106-5900 - City
- South Portland
- State
- Maine
- Zip
- 04106-5900
- Phone Number
- 207-854-1030
Provider Business Mailing Address Details
- Address
- 46 Evans Road
Bridgton, ME 04009 - City
- Bridgton
- State
- ME
- Zip
- 04009
- Phone Number
- 603-969-5317
License Information
- License Number
- LC18385
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Samantha Blackadar, LCSW, LICSW?
The NPI number of Samantha Blackadar, LCSW, LICSW is 1164068128. It was assigned on November 25, 2019 and is currently active in the NPPES registry.
What is the specialty of Samantha Blackadar, LCSW, LICSW?
Samantha Blackadar, LCSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed under license number LC18385.
Where does Samantha Blackadar, LCSW, LICSW practice?
The practice location is 100 Gannett Dr, South Portland, ME 04106-5900. The office can be reached at 207-854-1030 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164068128 directly on the NPPES registry website.