Blackburn Social Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

56023 Issued in TX

Legal business name

BLACKBURN SOCIAL SERVICES PLLC

Practice address

1029 W Crawford St
Denison, TX 75020-4329

Phone

(903) 462-4600

Fax

(903) 298-0046

NPI assigned

May 15, 2015

Last updated

May 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony Paul Blackburn, LCSWNPI 1568840015

Title

Owner/Manager

Phone

(903) 462-4600

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony P Blackburn, LCSW

  • Clinical Social Worker
  • Denison, TX
  • NPI 1568840015
  Medicare reassignment Authorized official
• Ruth Esmeralda Martinez, LPC

  • Professional Counselor
  • North Richland Hills, TX
  • NPI 1295480556
  NPD
• Una M Starr, LPC

  • Professional Counselor
  • Denison, TX
  • NPI 1427504851

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1629456173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 W CRAWFORD ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204329",
            "telephone_number": "903-462-4600",
            "fax_number": "903-298-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 W CRAWFORD ST",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204329",
            "telephone_number": "903-462-4600",
            "fax_number": "903-298-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBURN SOCIAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "903-462-4600",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Alan Bentley, PA-C
• Dustin Bergeron, D.C.
• Lloyd Arthur Bergman II, L.P.C.
• Razel Eileen Biddle, NP
• Big Country Rehabilitation Inc (Steps 2 Strides of Denison)
• Anthony P Blackburn, LCSW
• Daisy Blagg, PSYD
• Benjamin Jay Blake, D.O.
• Robert Marsden Blanch, M.D.
• Micah Leigh Blevins-Rudd

• Clinical Social Worker in Denison, TX
• Providers in Denison, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.