Active NPI
Tomekia Sherie Blackmon, LCSWA
- Clinical Social Worker
- Snow Hill, NC
National Provider Identifier
1336411297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1108 A Kingold Blvd
Snow Hill, NC 28580-9515 - Phone
- (252) 747-5705
- Fax
- (252) 747-5635
- NPI assigned
- Feb 7, 2012
- Last updated
- Dec 11, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1961 | NC | |
| Clinical Social Worker | 1041C0700X | NC | Primary | |
| Clinical Social Worker | 1041C0700X | SC |
Addresses
Primary practice location
1108 A Kingold Blvd
Snow Hill, NC 28580-9515
Mailing address
55 Patrick Dr.
Snow Hill, NC 28580-9515
Phone (252) 327-2365
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 |
|---|---|---|---|
| 1961 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BFS Medical and Home Care Services LLC | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Greenville, NC
- NPI 1447851050
-
- Community/Behavioral Health Agency
- Cleveland, TN
- NPI 1447629126
-
- Community/Behavioral Health Agency
- Virginia Beach, VA
- NPI 1821469206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1336411297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 PATRICK DR.",
"city": "SNOW HILL",
"state": "NC",
"postal_code": "285809515",
"telephone_number": "252-327-2365",
"fax_number": "252-756-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 A KINGOLD BLVD",
"city": "SNOW HILL",
"state": "NC",
"postal_code": "285809515",
"telephone_number": "252-747-5705",
"fax_number": "252-747-5635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMON",
"first_name": "TOMEKIA",
"middle_name": "SHERIE",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1961",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snow Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.