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WENDY L BLACKBURN
NPI 1285258228
Social Worker - Clinical in Warwick, RI

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment
469 CENTERVILLE RD STE 105, WARWICK, RI 02886(401) 773-3700 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2023, Jun 5, 2020 (2 updates tracked since 2020).

About Wendy L Blackburn NPPES

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

WENDY L BLACKBURN (NPI 1285258228) is an individual clinical provider in Warwick, Rhode Island, licensed in Rhode Island (CSW02788) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285258228
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameWENDY L BLACKBURN
Location Address469 CENTERVILLE RD STE 105Warwick, RI 02886-4356
Mailing Address469 Centerville Rd Ste 105Warwick, RI 02886-4356 · (401) 773-3700
Phone(401) 773-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 5, 2020
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1285258228 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 RI · CSW02788
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.
469 CENTERVILLE RD STE 105, Warwick, RI 02886
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wendy L Blackburn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355859141
PECOS Enrollment IDI20250804000773
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Wendy Blackburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brightside Behavioral Health, LLC
Same address
Mental Health
469 CENTERVILLE RD, SUITE 101
Warwick, RI 02886
  • Reassigned Medicare billing, Rhode Island enrollment
  • 23 clinicians in this Medicare group
NPI 1255872206 (954) 658-9482
Rhode Island Counseling Associates LLC
5.0 mi
Mental Health
1150 RESERVOIR AVE STE 203
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • 65 clinicians in this Medicare group
NPI 1336638303 (401) 259-0340

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NELLIE ANN RODRIGUEZ
Social Worker (Clinical)
469 CENTERVILLE RD STE 105
WARWICK, RI 02886
Kent County (401) 773-3700
BRENDA ALEJANDRA ARIAS GABOT I BS, MS
Counselor (Mental Health)
469 CENTERVILLE RD STE 105
WARWICK, RI 02886
Kent County (401) 773-3700
MARIAH DITORO
Counselor (Mental Health)
469 CENTERVILLE RD STE 105
WARWICK, RI 02886
Kent County (401) 773-3700
MR. RYAN KENNETH CAPUANO LCSW
Counselor (Mental Health)
469 CENTERVILLE RD STE 105
WARWICK, RI 02886
Kent County (401) 773-3700
HANNAH NICOLE GILBERT
Counselor (Mental Health)
469 CENTERVILLE RD STE 105
WARWICK, RI 02886
Kent County (401) 773-3700
ASHLEY NICOLE VANCE LICSW
Social Worker (Clinical)
469 CENTERVILLE RD STE 105
WARWICK, RI 02886
Kent County (401) 773-3700
MS. GENEVIEVE E DELGADO LMHC-A
Counselor (Mental Health)
469 CENTERVILLE RD STE 105
WARWICK, RI 02886
Kent County (401) 773-3700
BREANNA MAYESKI MS, LMHC
Counselor (Mental Health)
469 CENTERVILLE RD STE 105
WARWICK, RI 02886
Kent County (401) 773-3700

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 Wendy Blackburn's NPI number?

The NPI number for Wendy Blackburn is 1285258228. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Wendy Blackburn located?

Wendy Blackburn practices at 469 Centerville Rd Ste 105, Warwick, RI 02886. The listed phone number is (401) 773-3700.

What is Wendy Blackburn's specialty?

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

Is Wendy Blackburn enrolled in Medicare?

Yes. Wendy Blackburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Wendy Blackburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wendy Blackburn reassigns Medicare benefits to 2 organizations: Brightside Behavioral Health, LLC (Warwick, RI) and Rhode Island Counseling Associates LLC (Cranston, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wendy Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wendy Blackburn accept?

Health plans from Harvard Pilgrim Health Care list Wendy Blackburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wendy Blackburn was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.