Blue Pine Psych Services LLC
Organization Active NPI Clinical Social Worker · Milford, OH
NPI 1114780533 · NPPES record last updated Jan 31, 2024
Key facts
- NPI
- 1114780533
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BLUE PINE PSYCH SERVICES LLC
- Practice address
- 19 Water St
Milford, OH 45150-1104 - Phone
- (231) 620-6085
- NPI assigned
- Jan 31, 2024
- Organization subpart
- No
Authorized official
- Name
- Mrs. Elizabeth Mary Swan, MSW
- Title
- Owner/Ceo
- Phone
- (231) 620-6085
Practitioners 1
-
Elizabeth Swan, LISW
National Provider Directory
Locations
19 Water St
Milford, OH 45150
Phone (231) 620-6085
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
19 Water St
Milford, OH 45150-1104
Mailing address
19 Water St
Milford, OH 45150-1104
Phone (231) 620-6085
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689295412 | Other | OH | NPI |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 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.