Blackburn Center Against Domestic & Sexual Violence

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW010211L Issued in PA

Legal business name

BLACKBURN CENTER AGAINST DOMESTIC & SEXUAL VIOLENCE

Practice address

1011 Old Salem Rd Ste 202
Greensburg, PA 15601-1095

Phone

(724) 837-9540

Fax

(724) 837-3676

NPI assigned

Jan 26, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Ann M Emmerling

Title

Executive Director

Phone

(724) 837-9540

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Blackburn Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Dean Burrell, MA, LSW

  • Social Worker
  • Greensburg, PA
  • NPI 1447642079
  NPD (past)

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1376874669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156010398",
            "telephone_number": "724-837-9540",
            "fax_number": "724-837-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 OLD SALEM RD STE 202",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156011095",
            "telephone_number": "724-837-9540",
            "fax_number": "724-837-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBURN CENTER AGAINST DOMESTIC & SEXUAL VIOLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "EMMERLING",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-837-9540",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC002628",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC001418",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW010211L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465130",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackburn Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Bittner, PTA
• Linda J. Bizzak, P.A.
• April Black
• Hailey Sue Black
• Jessica J Black, PH.D.
• Amber Blair, MSW, LSW, MT-BC
• Jacqueline M Blankenship, LPC, ATR
• Holly Rene Blazowich, RN
• Lara H Blosser, PA-C
• Clare Boast

• Clinical Social Worker in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.