Blackbird Singing LLC

Primary specialty

Clinical Social WorkerTaxonomy code 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

Last updated

Mar 11, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amelia Forman-Stiles, LCSWNPI 1053886564

Title

Mental Health Therapist

Phone

(910) 580-3383

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amelia Forman-Stiles, LCSW

  • Clinical Social Worker
  • Blue Hill, ME
  • NPI 1053886564
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1043167992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 JAY CARTER RD",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046146236",
            "telephone_number": "910-580-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 JAY CARTER RD",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046146236",
            "telephone_number": "910-580-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBIRD SINGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "FORMAN-STILES",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "910-580-3383",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Beaudoin
• Robert Allen Beekman, MD
• Stephen Edward Benson, PHD
• Patricia S. Bergstrom, LCSW
• Catherine Virginia Beyer Springer, L.AC.
• Blue Hill Consolidated School
• Blue Hill Family & Cosmetic Dentistry PA
• Blue Hill Health Collaborative LLC
• Blue Hill Psychiatric Services LLC
• Blue Hill Psychological Services Inc

• Clinical Social Worker in Blue Hill, ME
• Providers in Blue Hill, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.