Sally J Blackman, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC4980 Issued in ME

Practice address

22 W Cole Rd
Psychiatric Associates
Biddeford, ME 04005

Phone

(207) 283-1118

Fax

(207) 286-8792

NPI assigned

Jan 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275679086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TIDEVIEW TERRACE",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "04043",
            "telephone_number": "207-985-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W COLE RD",
            "address_2": "PSYCHIATRIC ASSOCIATES",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "04005",
            "telephone_number": "207-283-1118",
            "fax_number": "207-286-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "SALLY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC4980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Duane Bingham, LCPC
• Bio-Medical Applications of Maine, Inc. (York County Dialysis Center)
• Caryn T Birstler, O.T.
• Tammi Bittler, M.D.
• Bruce Elliott Blackman, D.O.
• September Ann Blake, LMT
• Nancy Blanchard, LCSW
• Meghan Blaszczyk
• Blessing Homes, LLC
• Christopher Patrick Blomberg, D.O.

• Clinical Social Worker in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Clinical Social Worker in Maine

• 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.