Active NPI
Rita Ameka Blackwell, PH.D., MFT, LCSW
- Social Worker
- Mission Viejo, CA
National Provider Identifier
1346996568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 129781
- Practice address
- 12 Bolero
Mission Viejo, CA 92692-5165 - Phone
- (346) 353-4183
- NPI assigned
- Feb 25, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 129781 | CA | Primary |
| Clinical Social Worker | 1041C0700X | 63615 | TX |
Addresses
Primary practice location
12 Bolero
Mission Viejo, CA 92692-5165
Mailing address
12 Bolero
Mission Viejo, CA 92692-5165
Phone (346) 353-4183
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129781 | CA | MD | Social Worker |
Interoperability endpoints
- rita.blackwell.1@24284.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1346996568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BOLERO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926925165",
"telephone_number": "346-353-4183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 BOLERO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926925165",
"telephone_number": "346-353-4183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWELL",
"first_name": "RITA",
"middle_name": "AMEKA",
"name_prefix": "Mrs.",
"credential": "PH.D., MFT, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-25",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "129781",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "63615",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.