MRS. CAROLYN W BLACKBURN


Address: 329 Bath Rd, Brunswick, ME 04011-2673
Phone: 2073733070

MRS. CAROLYN W BLACKBURN (NPI# 1669472247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669472247
Entity Type Individual
Full Name MRS. CAROLYN W BLACKBURN
Other Name CAROLYN WOOD STEPHENS
Credential LCSW
Practice Address 329 Bath Rd
Brunswick
ME 04011-2673
Practice Telephone 2073733070
Practice Fax Number 2073733070
Mailing Telephone 2073733070
Mailing Fax Number 2073733070
Enumeration Date 2005-07-26
Last Update Date 2011-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LC7316 ME Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ME 287340099 05

Other Providers CAROLYN BLACKBURN

NPI Name Taxonomy Address Enumeration
1902336431 Carolyn Ann Blackburn Registered Nurse 109 N Main St, Braymer, MO 64624-9325 2017-06-18
1346325917 Carolyn B Blackburn Counselor 349-a East Avenue K-6, Lancaster, CA 93535 2006-10-25

Office Location

Street Address 329 BATH RD
City BRUNSWICK
State ME
Zip Code 04011-2673

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861043994 Christopher T Jones Counselor 329 Bath Rd, Brunswick, ME 04011-2673 2019-09-20
1902369432 Michael Burr Butterfield Occupational Therapist 329 Bath Rd, Brunswick, ME 04011-2673 2019-04-11
1336637776 Denise J Reed Counselor 329 Bath Rd, Brunswick, ME 04011-2673 2018-05-01
1366956740 Joshua Leo Garneau Physical Therapist 329 Bath Rd, Brunswick, ME 04011-2673 2017-11-21
1184146086 Bryan E Lyman Counselor 329 Bath Rd, Brunswick, ME 04011-2673 2017-07-12
1134571847 Erin K Gagne Social Worker 329 Bath Rd, Sweetser, Brunswick, ME 04011-2673 2016-07-06
1073972535 Mikala D Thompson Social Worker 329 Bath Rd, Sweetser, Brunswick, ME 04011-2673 2016-02-12
1962876664 Elizabeth D Kramer Social Worker 329 Bath Rd, Brunswick, ME 04011-2673 2015-11-18
1215313432 Alyssa Podgorni Social Worker 329 Bath Rd, Brunswick, ME 04011-2673 2015-08-11
1467852236 Danielle S Parent Social Worker 329 Bath Rd, Brunswick, ME 04011-2673 2014-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093276370 Convenientmd LLC Clinic/Center 193 Bath Road, Brunswick, ME 04011 2019-03-28
1326571241 Psychology Specialists of Maine Psychologist 14 Maine St., Suite 309, Brunswick, ME 04011 2017-04-07
1992249775 Avita Brunswick LLC Alzheimer Center (Dementia Center) 89 Admiral Fitch Way, Brunswick, ME 04011 2016-12-13
1215303433 Mary K Kunhardt Social Worker 116 Maquoit Rd, Brunswick, ME 04011 2015-08-12
1861803843 Gretchen Jane Stevens Counselor 136 Maine Street, Suite #6, Brunswick, ME 04011 2014-05-13
1356764567 Kid Function, Inc. Clinic/Center 225 Thomas Point Road, Brunswick, ME 04011 2014-01-23
1356788921 Jacques M. Reynolds Psychiatry & Neurology 81 Medical Center Dr # 2400, Brunswick, ME 04011 2013-05-23
1922369891 Charles Russell Thorp Pharmacist 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 2012-06-06
1992076111 Benjamin C. Tyau Physician Assistant 193 Bath Rd, Brunswick, ME 04011 2012-01-19
1841575339 Bluesage Therapies Inc. Social Worker 214 Raymond Road, Brunswick, ME 04011 2011-10-15
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528697216 Emily Barb Social Worker 1216 Younkins Dr, Brunswick, MD 21716-9752 2020-04-03
1801387295 Allyson Christianson Social Worker 1115 Sycamore Ave, Brunswick, GA 31520-7440 2018-05-22
1811406440 Lauren Burleigh Social Worker 6 Federal St, Brunswick, ME 04011-1508 2017-09-27
1699222828 Laura Young Social Worker 62 Pegasus St Ste 300, Brunswick, ME 04011-5028 2016-09-06
1427414721 Katherine Moeller Social Worker 54 Cumberland St Ste 4, Brunswick, ME 04011-1829 2016-01-04
1215303433 Mary K Kunhardt Social Worker 116 Maquoit Rd, Brunswick, ME 04011 2015-08-12
1770901951 Candace Shepherd Social Worker 707 F Street, Brunswick, GA 31520 2014-04-03
1396096533 Katrina Renee Chisholm Social Worker 1 Youth Estate Dr, Brunswick, GA 31525-7206 2012-09-27
1417210105 Justin C Trozzi Social Worker 37 Mill St # 7, Brunswick, ME 04011-1914 2012-06-19
1073873725 N. Katherine Webb, Inc. Social Worker 502 1/2 Gloucester Street, Suite #3, Brunswick, GA 31520-7021 2012-05-29
Find all providers in BRUNSWICK

Competitor

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City BRUNSWICK
Zip Code 04011

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Dataset Information

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.

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