Active NPIOrganization

Blackbird Rising Mental Health LLC

Social Worker, Clinical in Groton, Connecticut

NPI Number1629991146
Practice location
4 Fort Hill RD, Groton, CT 06340-4762
Fax
—
Last updated
November 1, 2026

Blackbird Rising Mental Health LLC is a healthcare organization based in Groton, CT. Blackbird Rising Mental Health LLC practices in Groton, CT. The NPI Number for Blackbird Rising Mental Health LLC is 1629991146. The current practice location address for Blackbird Rising Mental Health LLC is 4 Fort Hill RD, Groton, CT 06340-4762 and can be reached out via phone at 503-440-3088.

Provider Profile Details

NPI Number
1629991146
Provider Name
Blackbird Rising Mental Health LLC
Provider Entity Type
Organization
Address
4 Fort Hill RD, Groton, CT 06340-4762
Phone Number
503-440-3088
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Danielle Mae Buffington, LCSW · Owner · 503-440-3088
Provider Enumeration Date
August 1, 2026
Last Update Date
November 1, 2026
Certification Date
November 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Fort Hill RD
Groton, CT 06340-4762
City
Groton
Zip
06340-4762
Phone Number
503-440-3088
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
320 Indigo St
Mystic, CT 06355-1326
City
Mystic
State
CT
Zip
06355-1326
Phone Number
503-440-3088

License Information

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 Blackbird Rising Mental Health LLC?

The NPI number of Blackbird Rising Mental Health LLC is 1629991146. It was assigned on August 1, 2026 and is currently active in the NPPES registry.

What is the specialty of Blackbird Rising Mental Health LLC?

Blackbird Rising Mental Health LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Blackbird Rising Mental Health LLC practice?

The practice location is 4 Fort Hill RD, Groton, CT 06340-4762. The office can be reached at 503-440-3088 (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 1629991146 directly on the NPPES registry website.

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