EVETTE BLACKMAN (NPI# 1548658594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548658594 |
| Entity Type | Individual |
| Full Name | EVETTE BLACKMAN |
| Credential | LCSW |
| Practice Address |
6029 W 10th St Indianapolis IN 46224-6115 |
| Mailing Address |
3403 East Raymond Street Indianapolis IN 46203 |
| Practice Telephone | 3179572550 |
| Mailing Telephone | 3179572000 |
| Mailing Fax Number | 3179572050 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34007134A | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8320 Madison Ave, Indianapolis, IN 462276066 | 3178930359 |
| Street Address |
6029 W 10TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46224-6115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679774178 | Rebecca Lynn Lindberg | Internal Medicine | 6029 W 10th St, Indianapolis, IN 46224-6115 | 2007-05-30 |
| 1891074407 | Christine Ann Brzakala | Nurse Practitioner | 6029 W 10th St, Indianapolis, IN 46224-6115 | 2011-08-12 |
| 1558537902 | Matthew Robert Overley | Family Medicine | 6029 W 10th St, Indianapolis, IN 46224-6115 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679050033 | O&a Homecare Services, LLC | Home Health Aide | 2307 Hermitage Ct Apt 709, Indianapolis, IN 46224 | 2018-07-27 |
| 1760976039 | Felecia Shelby | Home Health | 1850 Foyt Drive Apt D, Indianapolis, IN 46224 | 2018-06-19 |
| 1154832020 | Wendy A Booker | Nurse Practitioner | 1011 Main St Ste 140, Indianapolis, IN 46224 | 2017-10-19 |
| 1720439516 | Adam Kyle Craig | Counselor | 5610 Crawfordsville Rd., Suite 2201, Indianapolis, IN 46224 | 2016-06-23 |
| 1407223506 | Gouri Chitalapudi | Physical Therapist | 819 Auburn Hill Dr Apt C, Indianapolis, IN 46224 | 2015-08-25 |
| 1710266770 | Starr Angeline Song | Contractor | 2819 Embassy Row, 819, Indianapolis, IN 46224 | 2011-08-09 |
| 1699075739 | Accuquest Hearing Centers, LLC | Clinic/Center | 5620 Crawfordsville Road, Suite Q, Speedway, IN 46224 | 2010-10-22 |
| 1659549962 | Guy Elliot Lovell Sr. | Social Worker | 25 Beachway Drive, Suite C, Indianapolis, IN 46224 | 2008-02-20 |
| 1316128614 | Indianapolis Independent Pediatricians, P.C. | Pediatrics | 777 Beachway Drive, Suite 210, Indianapolis, IN 46224 | 2007-11-15 |
| 1568673119 | Speedway Optical | Eyewear Supplier (Equipment, not the service) | 1602 Cunningham Dr, Indianapolis, IN 46224 | 2007-05-25 |
| Find all providers in zip 46224 | ||||
| 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 |
|---|---|---|---|---|
| 1942808886 | Joan Marie Witt | Social Worker | 205 E Hickory Ln, Indianapolis, IN 46227-2447 | 2020-10-13 |
| 1821695008 | Belinda Shelton Gamble | Social Worker | 9650 E Washington St Ste 245, Indianapolis, IN 46229-3032 | 2020-10-01 |
| 1225642234 | Charlotte Cox | Social Worker | 124 N Oriental St, Indianapolis, IN 46202-3842 | 2020-09-07 |
| 1477167641 | Laura Marie Lines | Social Worker | 9165 Otis Ave Ste 215, Indianapolis, IN 46216-2316 | 2020-09-03 |
| 1477167815 | Cydaria Lashon Cooke | Social Worker | 7909 Preservation Dr, Indianapolis, IN 46278-9553 | 2020-09-02 |
| 1790396760 | Restored Pieces LLC | Social Worker | 7210 Mars Dr, Indianapolis, IN 46241-3693 | 2020-08-13 |
| 1215546973 | Tammy M Skinner | Social Worker | 1633 N Capitol Ave # Mt301, Indianapolis, IN 46202-1261 | 2020-07-29 |
| 1922626092 | Heartland Healing Counseling Services | Social Worker | 2432 Conservatory Dr Fl 2, Indianapolis, IN 46203-3985 | 2020-07-06 |
| 1710504980 | Salma Mohiuddin | Social Worker | 3418 Bodelva Ln, Indianapolis, IN 46228-2894 | 2020-07-02 |
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46224 |
Please comment or provide details below to improve the information on EVETTE BLACKMAN.
| 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.