Christian A Blackwell
Social Worker, Clinical in Maplewood, New Jersey
1457072654- Practice location
- 274 Boyden Ave, Maplewood, NJ 07040-3010
- Phone
- 201-407-3977
- Fax
- —
- Last updated
- September 6, 2022
Christian A Blackwell is a Social Worker, Clinical based in Maplewood, NJ. Christian A Blackwell practices in Maplewood, NJ. The NPI Number for Christian A Blackwell is 1457072654 and holds a License No. 44SL06659700 (NJ). The current practice location address for Christian A Blackwell is 274 Boyden Ave, Maplewood, NJ 07040-3010 and can be reached out via phone at 201-407-3977.
Provider Profile Details
- NPI Number
- 1457072654
- Provider Name
- Christian A Blackwell
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 274 Boyden Ave, Maplewood, NJ 07040-3010
- Phone Number
- 201-407-3977
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 6, 2022
- Last Update Date
- September 6, 2022
- Certification Date
- September 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 274 Boyden Ave
Maplewood, NJ 07040-3010 - City
- Maplewood
- State
- New Jersey
- Zip
- 07040-3010
- Phone Number
- 201-407-3977
Provider Business Mailing Address Details
- Address
- 4 S Orange Ave # 1164
South Orange, NJ 07079-1702 - City
- South Orange
- State
- NJ
- Zip
- 07079-1702
License Information
- License Number (1)
- 44SL06659700
- License State (1)
- NJ
- Taxonomy (1)
- Social Worker, School · 1041S0200X
- License Number (2)
- 44SL06659700
- License State (2)
- NJ
- Taxonomy (2)
- 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 Christian A Blackwell?
The NPI number of Christian A Blackwell is 1457072654. It was assigned on September 6, 2022 and is currently active in the NPPES registry.
What is the specialty of Christian A Blackwell?
Christian A Blackwell is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL06659700.
Where does Christian A Blackwell practice?
The practice location is 274 Boyden Ave, Maplewood, NJ 07040-3010. The office can be reached at 201-407-3977 (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 1457072654 directly on the NPPES registry website.