Tracey Hawthorne Blackwell, BSW., CIT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1971 Issued in LA

Practice address

Meadow Lane
Unit 6
Pineville, LA 71360

Phone

(318) 484-6400

Fax

(318) 487-5704

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Central la Human Services District

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, LA
  • NPI 1033543756
  NPD (past)
• Central la Human Services District

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Leesville, LA
  • NPI 1295169886
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245347376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 PENICK ST",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605246",
            "telephone_number": "318-484-6795",
            "fax_number": "318-487-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEADOW LANE",
            "address_2": "UNIT 6",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-484-6400",
            "fax_number": "318-487-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "TRACEY",
        "middle_name": "HAWTHORNE",
        "name_prefix": "Mrs.",
        "credential": "BSW., CIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "R1971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayland Kevin Beurlot, M.D.
• Manu Bhargava, M.D., F.A.A.P.
• Bio-Medical Applications of Louisiana, LLC
• Melinda Peal Bishop, MBA, RD
• Carolyn Christine Blackstone, GSW
• Sherry G Blackwood, MCD, CCC-SLP
• Eric Shane Blair, M.S.
• Clara Bell Blake
• Brian W. Blakewood, CRNA
• Michelle Blose, PSYD

• All providers in Pineville, LA
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.