MRS. CAROLYN W BLACKBURN LCSW NPI 1669472247

Social Worker (Clinical) in Brunswick, ME

Individual Female Social Worker Clinical

About CAROLYN BLACKBURN

Carolyn Blackburn is a provider established in Brunswick, Maine and her medical specialization is social worker (clinical) . The NPI number of Carolyn Blackburn is 1669472247 and was assigned on July 2005. The practitioner's primary taxonomy code is 1041C0700X with license number LC7316 (ME). The provider is registered as an individual and her NPI record was last updated 9 years ago.

A clinical social worker like Mrs. Carolyn W Blackburn Lcsw is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Carolyn Blackburn is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1669472247

Provider NameMRS. CAROLYN W BLACKBURN LCSW
Provider Location Address329 BATH RD BRUNSWICK, ME 04011
Provider Mailing Address329 BATH RD BRUNSWICK, ME 04011
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-26-2005
Last Update Date08-18-2011

Primary Taxonomy

Taxonomy Code1041C0700X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.LC7316
License StateME
Taxonomy DescriptionA 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.

Business Address

MRS. CAROLYN W BLACKBURN LCSW
329 BATH RD
BRUNSWICK, ME
ZIP 04011
Phone: (207) 373-3070
Fax: (207) 373-3070

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Mailing Address

MRS. CAROLYN W BLACKBURN LCSW
329 BATH RD
BRUNSWICK, ME
ZIP 04011
Phone: (207) 373-3070
Fax: (207) 373-3070

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
ME1296MEDICARE ID-TYPE UNSPECIFIED (04)ME
287340099MEDICAID (05)ME

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063633238 THOMAS L FUSCO LCPC
Individual
Counselor (Professional)329 BATH RD
BRUNSWICK, ME 04011
(800) 434-3000
1144268483 ANDREA M BREWSTER LCPC
Individual
Counselor (Professional)329 BATH RD
BRUNSWICK, ME 04011
(800) 434-3000
1154386902 MARILYN JOYCE REYNOLDS LCSW
Individual
Social Worker (Clinical)329 BATH RD
BRUNSWICK, ME 04011
(207) 294-4657
1275616815 JOHN BARNHART LCPC/CC
Individual
Counselor329 BATH RD
BRUNSWICK, ME 04011
(207) 373-3012
1366596074MS. JULIE E. WEI LCSW
Individual
Social Worker (Clinical)329 BATH RD
BRUNSWICK, ME 04011
(800) 434-3000
1376744706 AMY L SIMONDS LCPC
Individual
Counselor (Professional)329 BATH RD
BRUNSWICK, ME 04011
(800) 434-3000
1396885216 JENNIFER M NOEL LCSW
Individual
Social Worker (Clinical)329 BATH RD
BRUNSWICK, ME 04011
(207) 294-4400
1417910423 CARLTON T. CHARITY LCSW
Individual
Social Worker (Clinical)329 BATH RD
BRUNSWICK, ME 04011
(207) 294-4657
1528263191 MARY D TOOF LCPC
Individual
Counselor (Professional)329 BATH RD
BRUNSWICK, ME 04011
(800) 434-3000
1538217005 AMY ACKROYD LMSW-CC
Individual
Social Worker (Clinical)329 BATH RD
BRUNSWICK, ME 04011
(207) 373-3000
1689637167DR. DANA P. BARTONE M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)329 BATH RD
BRUNSWICK, ME 04011
(207) 294-4657
1689717878 ELNORA JOSEPH-BIJHOUWER LCSW
Individual
Social Worker (Clinical)329 BATH RD
BRUNSWICK, ME 04011
(800) 434-3000
1730143595 JILL KATHERINE HYMERS LCSW
Individual
Social Worker (Clinical)329 BATH RD
BRUNSWICK, ME 04011
(207) 294-4657
1750344222 JENNIFER BALDWIN-MACKEY LCPC
Individual
Counselor329 BATH RD
BRUNSWICK, ME 04011
(207) 294-4657
1770670176 NIRVANA P. SHAW LCSW
Individual
Social Worker (Clinical)329 BATH RD
BRUNSWICK, ME 04011
(207) 373-3012
1780648519 IRENE TURCOTTE TYLER LCSW
Individual
Social Worker (Clinical)329 BATH RD
BRUNSWICK, ME 04011
(207) 294-4657
1811038037 ELIZABETH A DERRIG LCSW
Individual
Social Worker (Clinical)329 BATH RD
BRUNSWICK, ME 04011
(207) 294-4400
1811952310 JOANNA K. KELLEY-COHEN LCSW
Individual
Social Worker (Clinical)329 BATH RD
BRUNSWICK, ME 04011
(207) 294-4657
1821167685 EDWARD B PONTIUS MD
Individual
Psychiatry & Neurology (Psychiatry)329 BATH RD
BRUNSWICK, ME 04011
(800) 434-3000
1891852695 ROSE MARIE NELSON LMSWCC
Individual
Social Worker329 BATH RD
BRUNSWICK, ME 04011
(207) 373-3012

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.