MIRIAM BLACKMAN (NPI# 1629116751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629116751 |
Entity Type | Individual |
Full Name | MIRIAM BLACKMAN |
Other Name | MIKKI BLACKMAN |
Credential | LCSW-CP |
Practice Address |
108 Rutherford St Summerville SC 29483-5942 |
Practice Telephone | 8437246952 |
Practice Fax Number | 8438752189 |
Mailing Telephone | 8437246952 |
Mailing Fax Number | 8438752189 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2013-09-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
002387 | SC | Behavioral Health & Social Service Providers |
Street Address |
108 RUTHERFORD ST |
City | SUMMERVILLE |
State | SC |
Zip Code | 29483-5942 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
Find all providers in zip 29483 |
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 |
---|---|---|---|---|
1255860839 | Tina Kaminski | Social Worker | 201 Sigma Dr Ste 300, Summerville, SC 29486-7722 | 2017-06-07 |
1336697499 | Healing Roots Behavioral Health Center, LLC | Social Worker | 200 W. 5th North Street, Suite C, Healing Roots Behavioral Health Center, LLC, Summerville, SC 29483-6618 | 2016-09-19 |
1033479340 | Magdana Philossaint | Social Worker | 9991 Commerce St., Summerville, GA 30747 | 2012-05-21 |
1376832378 | Candace P Creel | Social Worker | 222 Varnfield Dr Ste A, Summerville, SC 29483-7345 | 2011-03-31 |
1316253826 | Emily Ann De Quattro | Social Worker | 133 E 1st North St Ste 5, Summerville, SC 29483 | 2010-08-20 |
1558681874 | Julie Knecht Lindroth | Social Worker | 130 E Richardson Ave, Summerville, SC 29483-6333 | 2010-06-09 |
1558520908 | Victoria Ann Lobeck | Social Worker | 200 W 5th North Street Suite C, Healing Roots Behavioral Health Center LLC, Summerville, SC 29483-6618 | 2008-06-02 |
1720108764 | Jane Goldman | Social Worker | 312 Middleton Blvd, Summerville, SC 29485-8028 | 2007-03-31 |
1982733184 | Kay W. Phillips | Social Worker | 303 E Richardson Ave, Summerville, SC 29483-6336 | 2007-03-05 |
1598783714 | Benjamin Romig Martin | Social Worker | 300 Chessington Cir, Summerville, SC 29485-5618 | 2006-07-17 |
Find all providers in SUMMERVILLE |
City | SUMMERVILLE |
Zip Code | 29483 |
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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.