Individual provider · Type 1 NPI

Willis Edwin Blackmore, LMSW

Clinical Social Worker · Taos, NM

NPI number 1386846715 Active

Practice location

1337 Gusdorf Road, Suites E & F
Taos, NM 87571-6489

Call (575) 758-4297 Map

Fax (575) 751-7237

Mailing address

4787 Ndcbu
Taos, NM 87571-6032

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XM-04831 (NM)

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 1386846715

Willis Edwin Blackmore, LMSW's National Provider Identifier is 1386846715, issued on Jun 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Taos, NM. The record was last updated on Feb 1, 2012.