Organization · Type 2 NPI

Blackbird Rising Mental Health LLC

Clinical Social Worker · Groton, CT

NPI number 1629991146 Active

Practice location

4 Fort Hill Rd
Groton, CT 06340-4762

Mailing address

320 Indigo St
Mystic, CT 06355-1326

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1629991146

Blackbird Rising Mental Health LLC's National Provider Identifier is 1629991146, issued on Aug 1, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Groton, CT. The record was last updated on Nov 1, 2026.