Active NPIIndividual provider

Mrs. Carolyn W Blackburn, LCSW

Social Worker, Clinical in Brunswick, Maine

NPI Number1669472247
Practice location
329 Bath RD, Brunswick, ME 04011-2673
Fax
207-373-3070
Last updated
August 18, 2011

Carolyn W Blackburn is a Social Worker, Clinical based in Brunswick, ME. Carolyn W Blackburn practices in Brunswick, ME and has the professional credentials of LCSW. The NPI Number for Carolyn W Blackburn is 1669472247 and holds a License No. LC7316 (ME). The current practice location address for Carolyn W Blackburn is 329 Bath RD, Brunswick, ME 04011-2673 and can be reached out via phone at 207-373-3070 and via fax at 207-373-3070.

Provider Profile Details

NPI Number
1669472247
Provider Name
Carolyn W Blackburn
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
329 Bath RD, Brunswick, ME 04011-2673
Phone Number
207-373-3070
Fax Number
207-373-3070
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Carolyn Wood Stephens (Former Name)
Provider Enumeration Date
July 26, 2005
Last Update Date
August 18, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
329 Bath RD
Brunswick, ME 04011-2673
State
Maine
Zip
04011-2673
Phone Number
207-373-3070
Fax Number
207-373-3070
Brunswick, ME 04011Get directions →

Provider Business Mailing Address Details

Address
329 Bath RD
Brunswick, ME 04011-2673
City
Brunswick
State
ME
Zip
04011-2673
Phone Number
207-373-3070
Fax Number
207-373-3070

License Information

License Number
LC7316
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 Mrs. Carolyn W Blackburn, LCSW?

The NPI number of Mrs. Carolyn W Blackburn, LCSW is 1669472247. It was assigned on July 26, 2005 and is currently active in the NPPES registry.

What is the specialty of Mrs. Carolyn W Blackburn, LCSW?

Mrs. Carolyn W Blackburn, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC7316.

Where does Mrs. Carolyn W Blackburn, LCSW practice?

The practice location is 329 Bath RD, Brunswick, ME 04011-2673. The office can be reached at 207-373-3070 (phone) or 207-373-3070 (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 1669472247 directly on the NPPES registry website.

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