Blackbird Singing LLC

Organization Active NPI Clinical Social Worker · Blue Hill, ME

NPI 1043167992 · NPPES record last updated Mar 11, 2026

Key facts

NPI
1043167992
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
BLACKBIRD SINGING LLC
Practice address
163 Jay Carter Rd
Blue Hill, ME 04614-6236
Phone
(910) 580-3383
NPI assigned
Mar 11, 2026
Organization subpart
No

Authorized official

Name
Amelia Forman-Stiles, LCSW
Title
Mental Health Therapist
Phone
(910) 580-3383

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

163 Jay Carter Rd
Blue Hill, ME 04614-6236

Mailing address

163 Jay Carter Rd
Blue Hill, ME 04614-6236
Phone (910) 580-3383

Other providers in Blue Hill, ME

All providers in Blue Hill, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.