MR. TIGHE BLACKADAR (NPI# 1508471095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508471095 |
| Entity Type | Individual |
| Full Name | MR. TIGHE BLACKADAR |
| Credential | MSW, LCSW |
| Practice Address |
46 Evans Rd Bridgton ME 04009-3957 |
| Practice Telephone | 2078038735 |
| Mailing Telephone | 2078038735 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC17781 | ME | Behavioral Health & Social Service Providers |
| Street Address |
46 EVANS RD |
| City | BRIDGTON |
| State | ME |
| Zip Code | 04009-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1316435407 | Caitlin D Ambo | Counselor | 32 No High Street, Bridgton, ME 04009 | 2018-04-25 |
| 1205215290 | Brianna J Meister | Counselor | 37 No High Street, Bridgton, ME 04009 | 2015-05-22 |
| 1013120898 | Maine Administrative School District No 61 | Local Education Agency (LEA) | 900 Bridgton Road, Bridgton, ME 04009 | 2007-05-08 |
| 1114051984 | R. Andrew Derstine | Counselor | 236a Portland Rd, Bridgton, ME 04009 | 2007-03-15 |
| 1184784878 | Good Neighbors, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Sandy Creek Rd, Bridgton, ME 04009 | 2006-12-11 |
| 1578593570 | Lake Region Physical Therapy Pa | Physical Therapist | 593 Harrison Rd, Bridgton, ME 04009 | 2006-07-04 |
| 1164783452 | Kevin Jenkins | Internal Medicine | 10 Hospital Dr, Bridgton, ME 04009 | 2012-06-03 |
| 1225343940 | George T Lee | Pharmacist | 19 Portland St, Bridgton, ME 04009 | 2010-08-18 |
| 1164611703 | Liane Muller, D.o., Pa | Clinic/Center | 63 Main St, Suite A, Bridgton, ME 04009 | 2007-10-19 |
| Find all providers in zip 04009 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902324403 | Elizabeth Pierce | Social Worker | 5 Owl Ln Apt B, Bridgton, ME 04009-3966 | 2017-09-05 |
| 1578731030 | Jay W Sprinkle | Social Worker | 278 Middle Ridge Rd, Bridgton, ME 04009-4455 | 2008-02-18 |
| 1275640849 | Peter D. Robertson | Social Worker | 226a Portland Road, Rte 302, Bridgton, ME 04005-0000 | 2006-08-23 |
| 1811912603 | Geraldine Leddy | Social Worker | 40 Ring Farm W, Bridgton, ME 04009-4431 | 2006-07-13 |
| 1336130228 | Timothy Mcmahon | Social Worker | 32 N High St, Bridgton, ME 04009-1125 | 2005-10-31 |
| 1205492899 | Lee Ann Pennington | Social Worker | 25 Hospital Dr, Bridgton, ME 04009-1148 | 2019-05-20 |
| 1538455167 | Danielle Rowland | Social Worker | 32 N High St, Bridgton, ME 04009-1125 | 2011-06-22 |
| 1710277306 | Robert George Carey | Social Worker | 32 Main St, Bridgton, ME 04009-1130 | 2011-04-15 |
| 1831407881 | Tracy Sue Riggins | Social Worker | 14 Wyonegonic Rd, Bridgton, ME 04009-4652 | 2010-09-23 |
| 1548573041 | Jennifer Reeder | Social Worker | 32 N High St, Bridgton, ME 04009-1125 | 2010-07-26 |
| Find all providers in BRIDGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.