1. Home
  2. Directory
  3. Connecticut
  4. Bridgeport
  5. Social Worker
  6. NPI Profile

MR. THOMAS BLACKWELL JR. L.C.S.W.
NPI 1326330424
Social Worker - Clinical in Bridgeport, CT

Active since May 07, 2011PECOS Enrolled
80 VIRGINIA AVE, BRIDGEPORT, CT 06610(203) 814-2176 Get Directions Write a Review

NPPES record last updated: May 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thomas Blackwell Jr. L.c.s.w. NPPES

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

MR. THOMAS BLACKWELL JR. L.C.S.W. (NPI 1326330424) is an individual clinical provider in Bridgeport, Connecticut, licensed in Connecticut (007599) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326330424
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. THOMAS BLACKWELL JR.Credential: L.C.S.W.
Location Address80 VIRGINIA AVEBridgeport, CT 06610-1506
Mailing Address80 Virginia AveBridgeport, CT 06610-1506 · (203) 814-2176
Phone(203) 814-2176
Sole ProprietorYes
Enumeration DateMay 7, 2011
✔ NPI 1326330424 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 CT · 007599
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.
80 VIRGINIA AVE, Bridgeport, CT 06610
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Thomas Blackwell Jr. L.c.s.w. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06610 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 Thomas Blackwell's NPI number?

The NPI number for Thomas Blackwell is 1326330424. It was assigned to this individual provider in the NPPES registry on May 7, 2011.

Where is Thomas Blackwell located?

Thomas Blackwell practices at 80 Virginia Ave, Bridgeport, CT 06610. The listed phone number is (203) 814-2176.

What is Thomas Blackwell's specialty?

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

Is Thomas Blackwell enrolled in Medicare?

Yes. Thomas Blackwell is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Blackwell accept?

Health plans from Providence Health Plan list Thomas Blackwell 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 Thomas Blackwell was last updated on May 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.