Courtney Cathryn Blackmer, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PENDING Issued in AZ

Practice address

14040 N Cave Creek Rd Ste 108
Phoenix, AZ 85022-6117

Phone

(602) 358-7073

Fax

(888) 927-0409

NPI assigned

Apr 15, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oceanbee Wellness, LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1285405225

  Clinical

  NPD
• Teri'S Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1790374833
  NPD (past)

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1417690686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23380 N 61ST DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105748",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 N CAVE CREEK RD STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226117",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMER",
        "first_name": "COURTNEY",
        "middle_name": "CATHRYN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA GULF COAST UNIVERSITY MSW DEGREE CERTIFICATE",
            "identifier": "5-2021",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul A. Blackburn, DO
• Janet R. Blackham, PHD
• D'Angelo Garrett Blackhorse, DMD
• Jill Ryann Blackman
• Russell Scott Blackman, D.D.S.
• Kiajera Oshanay Blackston, DACCHM
• David Bradley Blackstone, MSW
• Jeanette (Jann) Adrianne Blackstone, PSYD
• Olivia Charlotte Blackstone, DO
• Rakia C Blackwell

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.