CLYDIE BLACKWELL RN
NPI 1063289635
Registered Nurse - Addiction (Substance Use Disorder) in East Saint Louis, IL

Active since December 05, 2023
505 S 8TH ST, EAST SAINT LOUIS, IL 62201(618) 474-7330 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clydie Blackwell Rn NPPES

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

CLYDIE BLACKWELL RN (NPI 1063289635) is an individual addiction (substance use disorder) provider in East Saint Louis, Illinois, licensed in Illinois (041165940) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1063289635
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameCLYDIE BLACKWELLCredential: RN
Location Address505 S 8TH STEast Saint Louis, IL 62201-2919
Mailing Address329 N 81st StCahokia Heights, IL 62203-2509 · (770) 896-0187
Sole ProprietorYes
Enumeration DateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
NPI 1063289635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License Licensed in IL · 041165940
505 S 8TH ST, East Saint Louis, IL 62201

Other Providers at the Same Location NPPES 15

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

Social Worker (Clinical)
505 S 8TH ST
EAST SAINT LOUIS, IL 62201
Substance Abuse Rehabilitation Facility
505 S 8TH ST
EAST SAINT LOUIS, IL 62201
Community Based Residential Treatment Facility, Mental Illness
505 S 8TH ST
EAST SAINT LOUIS, IL 62201
Social Worker (Clinical)
505 S 8TH ST
EAST SAINT LOUIS, IL 62201
Social Worker (Clinical)
505 S 8TH ST
EAST SAINT LOUIS, IL 62201
Community/Behavioral Health
505 S 8TH ST
EAST SAINT LOUIS, IL 62201
Day Training, Developmentally Disabled Services
505 S 8TH ST
EAST SAINT LOUIS, IL 62201
Clinic/Center (Methadone)
505 S 8TH ST
EAST SAINT LOUIS, IL 62201

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 Clydie Blackwell's NPI number?

The NPI number for Clydie Blackwell is 1063289635. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Where is Clydie Blackwell located?

Clydie Blackwell practices at 505 S 8th St, East Saint Louis, IL 62201. The listed phone number is (618) 474-7330.

What is Clydie Blackwell's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Clydie Blackwell was last updated on December 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.