Active NPI
Carolyn Christine Blackstone, GSW
- Social Worker
- Pineville, LA
National Provider Identifier
1124274220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10082
- Practice address
- 2495 Shreveport Hwy
Pineville, LA 71360-4044 - Phone
- (318) 473-0010
- NPI assigned
- Aug 8, 2008
- Last updated
- Aug 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10082 | LA | Primary |
Addresses
Primary practice location
2495 Shreveport Hwy
Pineville, LA 71360-4044
Mailing address
162 Palmer Chapel Rd
Pineville, LA 71360-9305
Phone (318) 229-1858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10082 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1124274220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 PALMER CHAPEL RD",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713609305",
"telephone_number": "318-229-1858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 SHREVEPORT HWY",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604044",
"telephone_number": "318-473-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKSTONE",
"first_name": "CAROLYN",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "GSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "10082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
- Kelly Kemper Beurlot, PHARMD
- Rayland Kevin Beurlot, M.D.
- Manu Bhargava, M.D., F.A.A.P.
- Bio-Medical Applications of Louisiana, LLC (Bma Pineville)
- Melinda Peal Bishop, MBA, RD
- Tracey Hawthorne Blackwell, BSW., CIT
- Sherry G Blackwood, MCD, CCC-SLP
- Eric Shane Blair, M.S.
- Clara Bell Blake
- Brian W. Blakewood, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.