Colin Thomas Blair, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

220115 Issued in MA

Practice address

94 Suffolk St
Holyoke, MA 01040-4458

Phone

(413) 315-3184

Fax

(413) 322-8404

NPI assigned

Sep 3, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1902206345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 SUFFOLK ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010404458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 SUFFOLK ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010404458",
            "telephone_number": "413-315-3184",
            "fax_number": "413-322-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "COLIN",
        "middle_name": "THOMAS",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "220115",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Bissonnette, PTA
• Genesh Biswa
• Rupika Bither
• Saurab Bither
• Gail Black, PT
• Lynne Ann Blaisdell, MSW
• Judea Blake
• Calvin Blakes
• John M Blanchette, M.D.
• Tanner James Blank

• Clinical Social Worker in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.