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THERESA A BLACKMER
NPI 1629093794
Social Worker - Clinical in Meriden, CT

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
89.4/100
CMS Quality Rating
883 PADDOCK AVE, RUSHFORD CENTER INC, MERIDEN, CT 06451(203) 630-5216 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theresa A Blackmer NPPES

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

THERESA A BLACKMER (NPI 1629093794) is an individual clinical provider in Meriden, Connecticut, licensed in Connecticut (001202) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1629093794
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESA A BLACKMER
Location Address883 PADDOCK AVE, RUSHFORD CENTER INCMeriden, CT 06451-0000
Mailing Address883 Paddock Ave, Rushford Center IncMeriden, CT 06451-0000 · (203) 630-5216
Phone(203) 630-5216
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629093794 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 · 001202
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.
883 PADDOCK AVE, Meriden, CT 06451
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa A Blackmer 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 ID9335039684
PECOS Enrollment IDI20060810000092
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 06451 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.18
Improvement Activities40
Cost71.32

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 Theresa Blackmer's NPI number?

The NPI number for Theresa Blackmer is 1629093794. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Theresa Blackmer located?

Theresa Blackmer practices at 883 Paddock Ave Rushford Center Inc, Meriden, CT 06451. The listed phone number is (203) 630-5216.

What is Theresa Blackmer's specialty?

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

Is Theresa Blackmer enrolled in Medicare?

Yes. Theresa Blackmer 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.

When was this NPI record last updated?

The NPPES record for Theresa Blackmer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.