Active NPIIndividual provider

Theresa Blackman

Social Worker, Clinical in Medford, Massachusetts

NPI Number1669921482
Practice location
22 Valley St, Medford, MA 02155-2521
Fax
—
Last updated
September 22, 2016

Theresa Blackman is a Social Worker, Clinical based in Medford, MA. Theresa Blackman practices in Medford, MA. The NPI Number for Theresa Blackman is 1669921482. The current practice location address for Theresa Blackman is 22 Valley St, Medford, MA 02155-2521 and can be reached out via phone at 617-935-3147.

Provider Profile Details

NPI Number
1669921482
Provider Name
Theresa Blackman
Provider Entity Type
Individual
Gender
Female
Address
22 Valley St, Medford, MA 02155-2521
Phone Number
617-935-3147
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 22, 2016
Last Update Date
September 22, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Valley St
Medford, MA 02155-2521
Zip
02155-2521
Phone Number
617-935-3147
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
22 Valley St
Medford, MA 02155-2521
City
Medford
State
MA
Zip
02155-2521

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 Theresa Blackman?

The NPI number of Theresa Blackman is 1669921482. It was assigned on September 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Theresa Blackman?

Theresa Blackman is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Theresa Blackman practice?

The practice location is 22 Valley St, Medford, MA 02155-2521. The office can be reached at 617-935-3147 (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 1669921482 directly on the NPPES registry website.

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