Tamara J Blackman is a Clinical in Boothbay, Maine. Tamara J Blackman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tamara J Blackman is 1972654333. The last update date is 2012-09-06.
Tamara J Blackman's current location address is 10 Balsam Dr, Boothbay, Maine. You can contact this provider via phone number 2079023477. The mailing address for Tamara J Blackman is 10 Balsam Dr, Boothbay, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara J Blackman |
|---|---|
| Address | 10 Balsam Dr, Boothbay, Maine |
| Phone Number | 2079023477 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1972654333 |
|---|---|
| Provider Enumeration Date | 2007-01-14 |
| Last Updated Date | 2012-09-06 |
Provider Mailing Address Detail
| Address | 10 Balsam Dr |
|---|---|
| City | Boothbay |
| State | Maine (ME) |
| Post Code | 45374466 |
| Phone Number | 2079023477 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC10800 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 267320099 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tamara J Blackman by the Centers for Medicare & Medicaid Services?
The Tamara J Blackman has been assigned the NPI (National Provider Identifier) 1972654333 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Tamara J Blackman?
The Tamara J Blackman is situated at 10 Balsam Dr, in the city of Boothbay, state of ME, with the zip code 45374466.
What is Tamara J Blackman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tamara J Blackman is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972654333 to Tamara J Blackman?
The Centers for Medicare & Medicaid Services assigned the 1972654333 to Tamara J Blackman on 2007-01-14.
When was the information regarding Tamara J Blackman most recently updated?
The details pertaining to the Tamara J Blackman, including its address, specialty, and other relevant information, were last refreshed on 2012-09-06.
NPI Number: 1013917590
Address: 1100 Halle Park Cir Ste 101, Collierville, TN