CHIDALE MARIE BLACKWOOD (NPI# 1578626750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578626750 |
| Entity Type | Individual |
| Full Name | CHIDALE MARIE BLACKWOOD |
| Other Name | CHIDALE BLACKWOOD FREEMAN |
| Credential | M. ED., LPC |
| Practice Address |
4145 Columbia Rd Martinez GA 30907-5400 |
| Practice Telephone | 7068697373 |
| Practice Fax Number | 7068697380 |
| Mailing Telephone | 7068697373 |
| Mailing Fax Number | 7068697380 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2016-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC005525 | GA | Behavioral Health & Social Service Providers |
| Street Address |
4145 COLUMBIA RD |
| City | MARTINEZ |
| State | GA |
| Zip Code | 30907-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437784501 | Angela Renee Mcgaha Kersey | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2020-03-09 |
| 1811548803 | Kimberley Yvonne Banta | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2019-09-22 |
| 1952767543 | Vanessa H Anderson | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2016-01-12 |
| 1902278443 | Jerry Smith | Social Worker | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2015-10-23 |
| 1083040810 | Aishia Leverett | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2013-09-25 |
| 1609014802 | Phillip Daniel Stockard | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2009-01-26 |
| 1164637773 | Georgia Family Crisis Solutions | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2007-05-14 |
| 1497805758 | Cheryl Ann Carswell | Counselor | 4145 Columbia Rd, Martinez, GA 30907-5400 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833688 | Virginia K Luke | Counselor | 4031 Braddock St, Martinez, GA 30907-2184 | 2019-10-24 |
| 1235669888 | Donna Collins Mcdaniel | Counselor | 3711 Executive Center Dr Ste 201, Martinez, GA 30907-0953 | 2017-06-15 |
| 1982091856 | Christopher Michael Hollar | Counselor | 3506 Professional Cir, Suite B, Martinez, GA 30907-8233 | 2015-04-18 |
| 1780075176 | Anne-lise Fuller | Counselor | 603 Muirfield Ct, Martinez, GA 30907-9575 | 2015-02-06 |
| 1609265834 | Hana Perkey | Counselor | 3711 Executive Center Dr Ste 101, Martinez, GA 30907-0952 | 2015-01-12 |
| 1962827121 | Christie L Chu | Counselor | 1320 Arnold Dr # 1701, Martinez, CA 94553-6537 | 2014-02-25 |
| 1588007900 | Betty Jeane Exume | Counselor | 781 Locks Way Ct, Martinez, GA 30907-4965 | 2013-04-16 |
| 1942332887 | Leann Gail Jean | Counselor | 3711 Executive Center Drive Suite 201, Martinez, GA 30907-0951 | 2007-03-09 |
| 1952392649 | Carole Ann Meek | Counselor | 4227 Columbia Rd, Martinez, GA 30907-1466 | 2005-11-02 |
| 1053922807 | Rebecca Leigh Morris | Counselor | 3504 Professional Cir Ste A, Martinez, GA 30907-8236 | 2020-08-14 |
| Find all providers in MARTINEZ | ||||
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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.