MS. CAROLYN RAE BLACKDEER LCSW
NPI 1013686658
Social Worker - Clinical in Tomah, WI

Active since September 08, 2021
500 E VETERANS ST, TOMAH, WI 54660(608) 372-3971 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Carolyn Rae Blackdeer Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CAROLYN RAE BLACKDEER LCSW (NPI 1013686658) is an individual clinical provider in Tomah, Wisconsin, licensed in Wisconsin (9774-123) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1013686658
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CAROLYN RAE BLACKDEERCredential: LCSW
Location Address500 E VETERANS STTomah, WI 54660-3105
Mailing Address27824 Epic AveTomah, WI 54660-4505 · (612) 221-9364
Sole ProprietorNo
Enumeration DateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
NPI 1013686658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 9774-123
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
500 E VETERANS ST, Tomah, WI 54660

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
500 E VETERANS ST
TOMAH, WI 54660
Dietetic Technician, Registered
500 E VETERANS ST
TOMAH, WI 54660
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
500 E VETERANS ST
TOMAH, WI 54660
Social Worker
500 E VETERANS ST
TOMAH, WI 54660
Registered Nurse (Ambulatory Care)
500 E VETERANS ST
TOMAH, WI 54660
Registered Nurse (Ambulatory Care)
500 E VETERANS ST
TOMAH, WI 54660
Clinic/Center (VA)
500 E VETERANS ST
TOMAH, WI 54660
Social Worker
500 E VETERANS ST
TOMAH, WI 54660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Blackdeer's NPI number?

The NPI number for Carolyn Blackdeer is 1013686658. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Carolyn Blackdeer located?

Carolyn Blackdeer practices at 500 E Veterans St, Tomah, WI 54660. The listed phone number is (608) 372-3971.

What is Carolyn Blackdeer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Carolyn Blackdeer was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.