Rebecca Blackwood, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1700731 Issued in OH

Practice address

143 Gougler Ave
Kent, OH 44240-2401

Phone

(330) 677-4724

NPI assigned

Jul 17, 2013

Last updated

Aug 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Pittsburgh School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gary Robinson and Associates LLCGroup PAC ID 5799748919, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gary Robinson & Associates LLC

  dba Kent Psychological Associates,LLC

  • Psychologist
  • Kent, OH
  • NPI 1740358902
  Medicare reassignment Care Compare group NPD
• Axess Family Services Inc

  dba AxessPointe Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Akron, OH
  • NPI 1548214935
  Medicare reassignment NPD
• Family & Community Services Inc

  dba Valley Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warren, OH
  • NPI 1750607057
  Medicare reassignment NPD
• Axess Family Services Inc

  dba AxessPointe Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ravenna, OH
  • NPI 1437944923
  NPD
• Family & Community Services, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Kent, OH
  • NPI 1952662108
  NPD

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1942642087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 MIDDLEBURY RD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442403380",
            "telephone_number": "412-965-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 GOUGLER AVE",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402401",
            "telephone_number": "330-677-4724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 E Commons",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152125310",
            "country_code": "US",
            "telephone_number": "412-442-1918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1700731",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017741",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Ohio, Inc. (Bma of Kent)
• Joseph Paul Bishop, MOT, OTR/L
• Jane Vair Bissler, PH.D., LPCC-S
• Brianne Bixby
• Aubrey Black
• Francesca Annette Blakey
• Catherine A Blankenship, LISW-S
• Madison Elizabeth Blauvelt, ATC
• Bloom Occupational Therapy LLC
• Board of Education of the Kent City School District

• Clinical Social Worker in Kent, OH
• Providers in Kent, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.