Sally J Blackman in Kennebunk - Clinical

Sally J Blackman - NPI 1275679086

Sally J Blackman is a Clinical in Kennebunk, Maine. Sally J Blackman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sally J Blackman is 1275679086. The last update date is 2007-07-08.

Sally J Blackman's current location address is 3 Tideview Terrace, Kennebunk, Maine. You can contact this provider via phone number 2079854227. The mailing address for Sally J Blackman is 3 Tideview Terrace, Kennebunk, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Sally J Blackman
Address 3 Tideview Terrace, Kennebunk, Maine
Phone Number 2079854227
Fax Number
Sole Proprietor N
Credentials MSW

NPI Number Detail

NPI Number 1275679086
Provider Enumeration Date 2007-01-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3 Tideview Terrace
City Kennebunk
State Maine (ME)
Post Code 4043
Phone Number 2079854227
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LC4980
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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FAQs about Sally J Blackman

What is the unique 10-digit identifier code issued to Sally J Blackman by the Centers for Medicare & Medicaid Services?

The Sally J Blackman has been assigned the NPI (National Provider Identifier) 1275679086 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Sally J Blackman's facilities are geographically located?

The facilities of Sally J Blackman are physically situated at the following location: 3 Tideview Terrace, Kennebunk, ME, 4043.

What is Sally J Blackman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Sally J Blackman is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1275679086 to Sally J Blackman?

The Centers for Medicare & Medicaid Services originally issued the 1275679086 to Sally J Blackman on 2007-01-29.

As of what date were the details pertaining to Sally J Blackman last refreshed?

The information related to the Sally J Blackman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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