Individual provider · Type 1 NPI

Theresa A. Blackmer

Clinical Social Worker · Meriden, CT

NPI number 1629093794 Active

Practice location

883 Paddock Ave, Rushford Center Inc
Meriden, CT 06451-0000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X001202 (CT)

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 1629093794

Theresa A. Blackmer's National Provider Identifier is 1629093794, issued on Jul 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Meriden, CT. The record was last updated on Jul 8, 2007.