Courtney Blair, LSW
Individual provider Active NPI Social Worker · Van Wert, OH
NPI 1326669672 · NPPES record last updated Apr 28, 2020
Key facts
- NPI
- 1326669672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 521 S Shannon St
Van Wert, OH 45891-1954 - Phone
- (419) 513-2600
- NPI assigned
- Apr 28, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unison Behavioral Health Group, Inc. | Past | Accepting new patients | |
| Unison Behavioral Health Group, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | OH | Yes |
Addresses
Primary practice location
521 S Shannon St
Van Wert, OH 45891-1954
Mailing address
521 S Shannon St
Van Wert, OH 45891-1954
Phone (419) 513-2600
Other providers in Van Wert, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2020. 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.