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MR. SAMUEL AUSTIN BLACKWOOD CADC, CAS
NPI 1568649937
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since January 28, 2008
3148 MIDWAY DR, SAN DIEGO, CA 92110(619) 363-0853(619) 362-9905 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2025, Oct 9, 2023 (2 updates tracked since 2023).

About Mr. Samuel Austin Blackwood Cadc, Cas NPPES

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

MR. SAMUEL AUSTIN BLACKWOOD CADC, CAS (NPI 1568649937) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (C3881214) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1568649937
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. SAMUEL AUSTIN BLACKWOODCredential: CADC, CAS
Location Address3148 MIDWAY DRSan Diego, CA 92110-4539
Mailing Address11596 Cypress Canyon Park DrSan Diego, CA 92131-3582 · (559) 212-0389 · Fax (559) 582-9201
Phone(619) 363-0853
Fax(619) 362-9905
Sole ProprietorNo
Enumeration DateJanuary 28, 2008
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1568649937 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
License✔ Licensed in CA · C3881214
3148 MIDWAY DR, San Diego, CA 92110
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Other Providers at the Same Location NPPES 4

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

MONICA ALEJANDRA GARCIA ARZOLA
Specialist/Technologist, Health Information (Registered Record Administrator)
3148 MIDWAY DR
SAN DIEGO, CA 92110
San Diego County (619) 363-0853
MISS ALEXIS GABRIELLE BADILLO
Specialist/Technologist, Health Information
3148 MIDWAY DR
SAN DIEGO, CA 92110
San Diego County (619) 363-0853
JENNIFER LEALA DIETZEN
Social Worker (Clinical)
3148 MIDWAY DR
SAN DIEGO, CA 92110
San Diego County (619) 363-0853
DIEGO ARMANDO GARCIA
Specialist/Technologist, Health Information (Registered Record Administrator)
3148 MIDWAY DR
SAN DIEGO, CA 92110
San Diego County (619) 363-0853

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 Samuel Blackwood's NPI number?

The NPI number for Samuel Blackwood is 1568649937. It was assigned to this individual provider in the NPPES registry on January 28, 2008.

Where is Samuel Blackwood located?

Samuel Blackwood practices at 3148 Midway Dr, San Diego, CA 92110. The listed phone number is (619) 363-0853.

What is Samuel Blackwood'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 Samuel Blackwood was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.