Amie Blackburn, LCSW
Individual provider Active NPI Clinical Social Worker · Leesville, LA
NPI 1053709063 · NPPES record last updated Sep 8, 2023
Key facts
- NPI
- 1053709063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11723 (LA)
- Practice address
- 3353 University Pkwy
Leesville, LA 71446-9041 - Phone
- (337) 392-3800
- NPI assigned
- Dec 27, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11723 | LA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11723 | LA | Yes |
Addresses
Primary practice location
3353 University Pkwy
Leesville, LA 71446-9041
Mailing address
3353 University Pkwy
Leesville, LA 71446-9041
Phone (337) 392-3800
Other providers in Leesville, LA
- Sherri Earlene Bennett
- Brian Benson
- Kenzie Elizabeth Bernard
- Nina Bezpalko
- Mary Catherine Bienvenu
- Jenifer Blackmore
- Jacob Colman Blakeman
- Jashua Bower
- Boxed in Non-Emergency Medical Transportation Services
- Sarah Kathleen Brack
All providers in Leesville, LA · Clinical Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2023. 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.