Erin Elizabeth Blackwell, LCSW
Individual provider Active NPI Clinical Social Worker · Warrensburg, MO
NPI 1043769839 · NPPES record last updated Sep 22, 2016
Key facts
- NPI
- 1043769839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2014040085 (MO)
- Practice address
- 407 E Russell Ave Ste A4
Warrensburg, MO 64093-1242 - Phone
- (660) 429-6678
- Fax
- (660) 429-6672
- NPI assigned
- Sep 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014040085 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Mo Behavioral Health LLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2014040085 | MO | Yes |
Addresses
Primary practice location
407 E Russell Ave Ste A4
Warrensburg, MO 64093-1242
Mailing address
PO Box C
Warrensburg, MO 64093-0768
Phone (660) 429-6678
Other names
- Miss Erin Elizabeth Fuelling
Other providers in Warrensburg, MO
- Better Hearing Care Centers, Inc.
- Nicole Bevans
- Lilli A Biggs
- Francis J Billings
- Jeanne Lynn Birchmier
- Gerianne Rose Bliss
- Greg Allan Bliss
- Hailey Nicole Bowen
- Ellen Bowman
- Robert Bowman
All providers in Warrensburg, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.