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MR. THEODORE WILLIAM BLICKWEDEL II MSW, LICSW
NPI 1669957932
Counselor - Mental Health in Johnston, RI

Active since October 02, 2018
1395 ATWOOD AVE STE 201, JOHNSTON, RI 02919(401) 383-7633(877) 266-4503 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Theodore William Blickwedel Ii Msw, Licsw NPPES

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

MR. THEODORE WILLIAM BLICKWEDEL II MSW, LICSW (NPI 1669957932) is an individual mental health provider in Johnston, Rhode Island, licensed in Rhode Island (ISW02141) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1669957932
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. THEODORE WILLIAM BLICKWEDEL IICredential: MSW, LICSW
Location Address1395 ATWOOD AVE STE 201Johnston, RI 02919-4931
Mailing Address1395 Atwood Ave Ste 201Johnston, RI 02919-4931 · (401) 383-7633 · Fax (877) 266-4503
Phone(401) 383-7633
Fax(877) 266-4503
Sole ProprietorNo
Enumeration DateOctober 2, 2018
✔ NPI 1669957932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in RI · ISW02141
1395 ATWOOD AVE STE 201, Johnston, RI 02919
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Other Providers at the Same Location NPPES 3

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

PARADIGM SHIFT
Counselor (Mental Health)
1395 ATWOOD AVE STE 201
JOHNSTON, RI 02919
Providence County (401) 383-7633
SAMANTHA HEIM
Registered Nurse (Psychiatric/Mental Health)
1395 ATWOOD AVE STE 201
JOHNSTON, RI 02919
Providence County (401) 415-8901
ALDEN PSYCHIATRIC SERVICES, LLC
Nurse Practitioner (Psychiatric/Mental Health)
1395 ATWOOD AVE STE 201
JOHNSTON, RI 02919
Providence County (401) 415-8901

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 Theodore Blickwedel's NPI number?

The NPI number for Theodore Blickwedel is 1669957932. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Theodore Blickwedel located?

Theodore Blickwedel practices at 1395 Atwood Ave Ste 201, Johnston, RI 02919. The listed phone number is (401) 383-7633.

What is Theodore Blickwedel's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Theodore Blickwedel was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.