Erin Elizabeth Blackwell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2014040085 Issued in 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

Last updated

Sep 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Erin Elizabeth Fuelling Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Mo Behavioral Health LLC

  • Clinical Social Worker
  • Clinton, MO
  • NPI 1366130957
  NPD (past)

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1043769839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX C",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640930768",
            "telephone_number": "660-429-6678",
            "fax_number": "660-429-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E RUSSELL AVE STE A4",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931242",
            "telephone_number": "660-429-6678",
            "fax_number": "660-429-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2014040085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "FUELLING",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Better Hearing Care Centers, Inc.
• Nicole Bevans, APRN-CNP
• Lilli A Biggs, RN, MSN, CPNP
• Francis J Billings, MS/PSY
• Jeanne Lynn Birchmier, D.O.
• Gerianne Rose Bliss, M.D.
• Greg Allan Bliss, M.D.
• Hailey Nicole Bowen
• Ellen Bowman
• Robert Bowman

• Clinical Social Worker in Warrensburg, MO
• Providers in Warrensburg, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.