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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BLACKBIRD RISING MENTAL HEALTH LLC
NPI 1629991146
Social Worker - Clinical in Mystic, CT

Active since August 01, 2026
14 MASONS ISLAND RD UNIT 11, MYSTIC, CT 06355(503) 440-3088 Get Directions Write a Review

NPPES record added: August 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blackbird Rising Mental Health Llc NPPES

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

BLACKBIRD RISING MENTAL HEALTH LLC (NPI 1629991146) is a healthcare organization registered as a clinical in Mystic, Connecticut and active in the NPI registry since August 2026. The organization lists Danielle Mae Buffington, Owner, as its authorized official.

NPPES Registry Identity

NPI1629991146
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBLACKBIRD RISING MENTAL HEALTH LLC
Location Address14 MASONS ISLAND RD UNIT 11Mystic, CT 06355-2958
Mailing Address320 Indigo StMystic, CT 06355-1326 · (503) 440-3088
Phone(503) 440-3088
Organization SubpartNo
Authorized OfficialDanielle Mae BuffingtonOwner · (503) 440-3088
Enumeration DateAugust 1, 2026
NPPES CertifiedAugust 1, 2026
✔ NPI 1629991146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
14 MASONS ISLAND RD UNIT 11, Mystic, CT 06355
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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

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 Blackbird Rising Mental Health LLC's NPI number?

The NPI number for Blackbird Rising Mental Health LLC is 1629991146. It was assigned to this organization in the NPPES registry on August 1, 2026.

Where is Blackbird Rising Mental Health LLC located?

Blackbird Rising Mental Health LLC is located at 14 Masons Island Rd Unit 11, Mystic, CT 06355. The listed phone number is (503) 440-3088.

What is Blackbird Rising Mental Health LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Blackbird Rising Mental Health LLC was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.