Active NPIIndividual provider

Mary A Bilotta Blackman

Social Worker, Clinical in Leominster, Massachusetts

NPI Number1194296350
Practice location
122 Granite St, Leominster, MA 01453-2504
Fax
978-534-1765
Last updated
December 16, 2018

Mary Ann Bilotta Blackman is a Social Worker, Clinical based in Leominster, MA. Mary Ann Bilotta Blackman practices in Leominster, MA. The NPI Number for Mary Ann Bilotta Blackman is 1194296350 and holds a License No. 1026994 (MA). The current practice location address for Mary Ann Bilotta Blackman is 122 Granite St, Leominster, MA 01453-2504 and can be reached out via phone at 978-534-7735 and via fax at 978-534-1765.

Provider Profile Details

NPI Number
1194296350
Provider Name
Mary Ann Bilotta Blackman
Provider Entity Type
Individual
Gender
Female
Address
122 Granite St, Leominster, MA 01453-2504
Phone Number
978-534-7735
Fax Number
978-534-1765
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 16, 2018
Last Update Date
December 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
122 Granite St
Leominster, MA 01453-2504
Zip
01453-2504
Phone Number
978-534-7735
Fax Number
978-534-1765
Leominster, MA 01453Get directions →

Provider Business Mailing Address Details

Address
122 Granite St
Leominster, MA 01453-2504
City
Leominster
State
MA
Zip
01453-2504
Phone Number
978-534-7735
Fax Number
978-534-1765

License Information

License Number
1026994
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mary A Bilotta Blackman?

The NPI number of Mary A Bilotta Blackman is 1194296350. It was assigned on December 16, 2018 and is currently active in the NPPES registry.

What is the specialty of Mary A Bilotta Blackman?

Mary A Bilotta Blackman is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1026994.

Where does Mary A Bilotta Blackman practice?

The practice location is 122 Granite St, Leominster, MA 01453-2504. The office can be reached at 978-534-7735 (phone) or 978-534-1765 (fax).

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 1194296350 directly on the NPPES registry website.

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