Active NPIIndividual provider

Mr. Tighe Blackadar, MSW, LCSW

Social Worker, Clinical in Bridgton, Maine

NPI Number1508471095
Practice location
41 Depot St Ste 204, Bridgton, ME 04009-2298
Fax
—
Last updated
October 15, 2024

Tighe Blackadar is a Social Worker, Clinical based in Bridgton, ME. Tighe Blackadar practices in Bridgton, ME and has the professional credentials of MSW, LCSW. The NPI Number for Tighe Blackadar is 1508471095 and holds a License No. LC17781 (ME). The current practice location address for Tighe Blackadar is 41 Depot St Ste 204, Bridgton, ME 04009-2298 and can be reached out via phone at 207-241-4332.

Provider Profile Details

NPI Number
1508471095
Provider Name
Tighe Blackadar
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Male
Address
41 Depot St Ste 204, Bridgton, ME 04009-2298
Phone Number
207-241-4332
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 10, 2020
Last Update Date
October 15, 2024
Certification Date
October 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Depot St Ste 204
Bridgton, ME 04009-2298
State
Maine
Zip
04009-2298
Phone Number
207-241-4332
Bridgton, ME 04009Get directions →

Provider Business Mailing Address Details

Address
41 Depot St Ste 204
Bridgton, ME 04009-2298
City
Bridgton
State
ME
Zip
04009-2298
Phone Number
207-241-4332

License Information

License Number
LC17781
License State
ME
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 Mr. Tighe Blackadar, MSW, LCSW?

The NPI number of Mr. Tighe Blackadar, MSW, LCSW is 1508471095. It was assigned on September 10, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Tighe Blackadar, MSW, LCSW?

Mr. Tighe Blackadar, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC17781.

Where does Mr. Tighe Blackadar, MSW, LCSW practice?

The practice location is 41 Depot St Ste 204, Bridgton, ME 04009-2298. The office can be reached at 207-241-4332 (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 1508471095 directly on the NPPES registry website.

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