Active NPIOrganization

Thomas Blackwell, LCSW, LLC

Social Worker, Clinical in Stratford, Connecticut

NPI Number1699319152
Practice location
2945 Main St Ste A, Stratford, CT 06614-4978
Fax
—
Last updated
July 22, 2020

Thomas Blackwell, LCSW, LLC is a healthcare organization based in Stratford, CT. Thomas Blackwell, LCSW, LLC practices in Stratford, CT. The NPI Number for Thomas Blackwell, LCSW, LLC is 1699319152. The current practice location address for Thomas Blackwell, LCSW, LLC is 2945 Main St Ste A, Stratford, CT 06614-4978 and can be reached out via phone at 203-814-2176.

Provider Profile Details

NPI Number
1699319152
Provider Name
Thomas Blackwell, LCSW, LLC
Provider Entity Type
Organization
Address
2945 Main St Ste A, Stratford, CT 06614-4978
Phone Number
203-814-2176
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Thomas Blackwell, LCSW · Owner · 203-814-2176
Other Names
Blackwell Counseling (Doing Business As)
Thomas Blackwell, LCSW, LLC (Former Legal Business Name)
Provider Enumeration Date
October 28, 2019
Last Update Date
July 22, 2020
Certification Date
July 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2945 Main St Ste A
Stratford, CT 06614-4978
Zip
06614-4978
Phone Number
203-814-2176
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
80 Virginia Ave
Bridgeport, CT 06610-1506
City
Bridgeport
State
CT
Zip
06610-1506
Phone Number
203-814-2176
Fax Number
203-330-1237

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 Thomas Blackwell, LCSW, LLC?

The NPI number of Thomas Blackwell, LCSW, LLC is 1699319152. It was assigned on October 28, 2019 and is currently active in the NPPES registry.

What is the specialty of Thomas Blackwell, LCSW, LLC?

Thomas Blackwell, LCSW, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Thomas Blackwell, LCSW, LLC practice?

The practice location is 2945 Main St Ste A, Stratford, CT 06614-4978. The office can be reached at 203-814-2176 (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 1699319152 directly on the NPPES registry website.

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