Active NPI
Sheila Blackbourn, LCSW
- School Social Worker
- Tucson, AZ
National Provider Identifier
1891776373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 317372
- Practice address
- 7794 S Golden Bell Dr
Tucson, AZ 85747-0088 - Phone
- (575) 706-6611
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15846 | AZ | |
| Clinical Social Worker | 1041C0700X | I05261 | NM | |
| School Social Worker | 1041S0200X | 317372 | NM | Primary |
Addresses
Primary practice location
7794 S Golden Bell Dr
Tucson, AZ 85747-0088
Mailing address
7794 S Golden Bell Dr
Tucson, AZ 85747-0088
Phone (575) 706-6611
Other practice location 1
519 Smokey Bear Blvd
Capitan, NM 88316-8831
Phone (575) 354-8536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18256066 | Medicaid | NM |
Other names 1
- Sheila Lovell
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15846 | AZ | MD | Clinical Social Worker |
| I05261 | NM | MD | Clinical Social Worker |
| 317372 | NM | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1891776373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7794 S GOLDEN BELL DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857470088",
"telephone_number": "575-706-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7794 S GOLDEN BELL DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857470088",
"telephone_number": "575-706-6611"
}
],
"practiceLocations": [
{
"address_1": "519 Smokey Bear Blvd",
"address_purpose": "LOCATION",
"city": "Capitan",
"state": "NM",
"postal_code": "883168831",
"country_code": "US",
"telephone_number": "575-354-8536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKBOURN",
"first_name": "SHEILA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2023-08-31",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "15846",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I05261",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "317372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18256066",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHEILA",
"last_name": "LOVELL",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.