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JACK BLACKWELL RADT
NPI 1215574561
Counselor - Addiction (Substance Use Disorder) in Woodland, CA

Active since December 05, 2019
215 W BEAMER ST, WOODLAND, CA 95695(530) 405-2815 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 28, 2020, Aug 6, 2020, Dec 5, 2019 (3 updates tracked since 2019).

About Jack Blackwell Radt NPPES

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

JACK BLACKWELL RADT (NPI 1215574561) is an individual addiction (substance use disorder) provider in Woodland, California and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1215574561
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK BLACKWELLCredential: RADT
Location Address215 W BEAMER STWoodland, CA 95695-2510
Mailing Address215 W Beamer StWoodland, CA 95695-2510 · (530) 405-2815
Phone(530) 405-2815
Sole ProprietorNo
Enumeration DateDecember 5, 2019
Last NPPES UpdateSeptember 28, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
✔ NPI 1215574561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
215 W BEAMER ST, Woodland, CA 95695
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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.

MR. JEFFREY J CALDWELL
Social Worker
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2815
SUZANNE H EMAM MSW, LCSW
Social Worker
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2895
AIMEE LAVONNE GIRARD RADT
Counselor (Addiction (Substance Use Disorder))
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2815
DANIEL ALLAN WALKER SUDRC II
Counselor (Addiction (Substance Use Disorder))
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2815
MARIA SANDOVAL CHARLES RADT
Counselor (Addiction (Substance Use Disorder))
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2815
SEAN SCOTT ERICKSON
Student in an Organized Health Care Education/Training Program
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2815
STEPHEN CHRISTOPHER CARDOZA SUDRC
Case Manager/Care Coordinator
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2800
MOISES ARANDA
Physician Assistant
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2800

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 Jack Blackwell's NPI number?

The NPI number for Jack Blackwell is 1215574561. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Jack Blackwell located?

Jack Blackwell practices at 215 W Beamer St, Woodland, CA 95695. The listed phone number is (530) 405-2815.

What is Jack Blackwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jack Blackwell was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.