Individual provider · Type 1 NPI

Teagan Marie Blackie

Clinical Social Worker · Lincoln, ME

NPI number 1336066521 Active

Practice location

58 Enfield Rd
Lincoln, ME 04457-1175

Mailing address

11 Sewall Dr
Old Town, ME 04468-1222

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XMC26101 (ME)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1336066521

Teagan Marie Blackie's National Provider Identifier is 1336066521, issued on Jun 30, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lincoln, ME. The record was last updated on Jun 30, 2026.