Andrew James Blackowiak, MSW
Individual provider Active NPI Clinical Social Worker · Watkinsville, GA
NPI 1063253631 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1063253631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 1551 Jennings Mill Rd # 3000
Watkinsville, GA 30677-7244 - Phone
- (706) 247-8129
- NPI assigned
- Jun 5, 2024
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
1551 Jennings Mill Rd # 3000
Watkinsville, GA 30677-7244
Mailing address
490 Barnett Shoals Rd Apt 536
Athens, GA 30605-7648
Other practice location 1
299 Cooper Rd Ste A
Loganville, GA 30052-2579
Phone (678) 243-9118
Other providers in Watkinsville, GA
- Bethel Haven, Inc
- Miranda Lynn Bieber
- Kathryn Guy Birch
- Ryan Bishop
- Katherine Anne Blackmon
- Holly Cheyenne Blalock
- Audrey Blanchard
- Joseph Blaney
- Ashley Keith Blanton
- Ivette Lopez Bledsoe
All providers in Watkinsville, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. 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.