KEITH DOUGLAS BLACKBURN


Address: 419 E 64th St Apt 1f, New York, NY 10065-7557
Phone: 9174056352

KEITH DOUGLAS BLACKBURN (NPI# 1205379369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205379369
Entity Type Individual
Full Name KEITH DOUGLAS BLACKBURN
Credential LCSW
Practice Address 419 E 64th St Apt 1f
New York
NY 10065-7557
Practice Telephone 9174056352
Practice Fax Number 7188081392
Mailing Telephone 9174056352
Enumeration Date 2016-11-22
Last Update Date 2018-02-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
085451-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 419 E 64TH ST APT 1F
City NEW YORK
State NY
Zip Code 10065-7557

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699372706 Anna Jane Dare Student in an Organized Health Care Education/Training Program 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 2020-10-02
1609480987 Kimberly Ann Oppenheim Physician Assistant 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 2020-09-03
1043829252 Bridget Maginity Physician Assistant 1283 York Ave 14th Floor, New York, NY 10065 2020-07-24
1154948016 Andrew Timothy Mclean Student in an Organized Health Care Education/Training Program Memorial Sloan Kettering Cancer Centre, 1275 York Ave, New York, NY 10065 2020-06-26
1972128700 Seeminder Brar Anesthesiology Weill Cornell Medicine - Department of Anesthesiology, 525 East 68th Street, New York, NY 10065 2020-06-08
1114548245 Mohamed Medhat Soliman Student in an Organized Health Care Education/Training Program 525 East 68th Street, Room F734, New York-presbyterian Hospital/weill Cornell Medical Ce, Manhattan, NY 10065 2020-04-29
1700417672 Carlos Henrique Dos Anjos Internal Medicine 300 E 66th St, New York, Ny, New York, NY 10065 2020-01-30
1134788557 Marvin Herbert Braun Student in an Organized Health Care Education/Training Program Department of Neurology, Sixth Floor, Weill Cornell Med, 525 East 68 St., New York, NY 10065 2019-06-10
1356907356 Andrew Garton Student in an Organized Health Care Education/Training Program New York Weill Cornell Medical Center, 525 E 68th St, New York, NY 10065 2019-05-15
1104481845 Rana Abualsaud Student in an Organized Health Care Education/Training Program New York Presbyterian Hospital, 525 E 68th St, Room M130, New York City, NY 10065 2019-05-08
Find all providers in zip 10065

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417558065 Elizabeth Fagan Social Worker 108 E 91st St Apt 4c, New York, NY 10128-1659 2020-11-02
1255932885 Kim Marie Yancey Social Worker 145 E 126th St Apt 3f, New York, NY 10035-1727 2020-11-02
1316546807 Nicole D'angelo Social Worker 511 E 81st St Apt 11, New York, NY 10028-2512 2020-10-26
1730788993 Nancy Bacher Social Worker 1770 Madison Ave, New York, NY 10035-4787 2020-10-20
1346849676 Marlene St. Vil Darbouze Social Worker 156 W 119th St Apt 1, New York, NY 10026-1354 2020-10-19
1720686702 Elizabeth Orent Social Worker 310 E 23rd St Apt 6c, New York, NY 10010-4703 2020-10-13
1548868607 Prescott Psychotherapy Wellness Lcsw Pllc Social Worker 285 Lexington Ave Fl 2a, New York, NY 10016-3592 2020-10-12
1003413410 Caprice Royal, Lcsw P.l.l.c Social Worker 368 Saint Nicholas Ave Apt 2a, New York, NY 10027-7678 2020-10-08
1669079364 Nina Michelle Libson Social Worker 405 E 14th St Apt 6e, New York, NY 10009-2703 2020-10-06
1588279954 Robert Mladinich Social Worker 6 Stuyvesant Oval Apt 5g, New York, NY 10009-2416 2020-09-13
Find all providers in NEW YORK

Competitor

Search similar providers

City NEW YORK
Zip Code 10065

Improve Information

Please comment or provide details below to improve the information on KEITH DOUGLAS BLACKBURN.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches