MR. E. LAWRENCE BLACKWELL JR. (NPI# 1285861716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285861716 |
| Entity Type | Individual |
| Full Name | MR. E. LAWRENCE BLACKWELL JR. |
| Credential | LCSW, CAC |
| Practice Address |
140 Glastonbury Blvd Somerset Sq. 2nd Floor Glastonbury CT 06033-4402 |
| Mailing Address |
81 Redwood Rd Manchester CT 06040-6329 |
| Practice Telephone | 8602125824 |
| Mailing Telephone | 8606434684 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
004581 | CT | Behavioral Health & Social Service Providers |
| Street Address |
140 GLASTONBURY BLVD SOMERSET SQ. 2ND FLOOR |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932161122 | Robin M Segal | Optometrist | 140 Glastonbury Blvd, Glastonbury, CT 06033-4402 | 2006-04-04 |
| 1972052207 | Angela Fierro | Social Worker | 140 Glastonbury Blvd, Suite 25, Glastonbury, CT 06033-4402 | 2016-09-28 |
| 1831463132 | Kelly M Radocchia | Social Worker | 140 Glastonbury Blvd, Suite 25, Glastonbury, CT 06033-4402 | 2012-03-05 |
| 1104190404 | Therapeutic Collaborations, LLC | Social Worker | 140 Glastonbury Blvd, Suite 25, Glastonbury, CT 06033-4402 | 2012-03-05 |
| 1255610267 | Caroline Hall | Social Worker | 140 Glastonbury Blvd, Glastonbury, CT 06033-4402 | 2011-08-08 |
| 1770813339 | Robin Segal, Od LLC | Optometrist | 140 Glastonbury Blvd, Glastonbury, CT 06033-4402 | 2010-01-05 |
| 1326202409 | Sonya M. Cosumano-grant | Marriage & Family Therapist | 140 Glastonbury Blvd, Somerset Square, 2nd Floor, Glastonbury, CT 06033-4402 | 2008-07-17 |
| 1376718866 | Sarah Turrentine Hodgson | Psychologist | 140 Glastonbury Blvd, Suite 100, Glastonbury, CT 06033-4402 | 2008-04-25 |
| 1770700643 | Laura Wurtz Foyle | Psychologist | 140 Glastonbury Blvd, Suite 25, Glastonbury, CT 06033-4402 | 2007-04-20 |
| 1649301219 | Eve Marie Perugini | Psychologist | 140 Glastonbury Blvd, Glastonbury, CT 06033-4402 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769573 | Karen Bogdan | Social Worker | 3638 Hebron Ave, Glastonbury, CT 06033-2811 | 2018-02-05 |
| 1720448764 | Richard Neal | Social Worker | 6 Boxwood Ln, Glastonbury, CT 06033-1216 | 2016-03-03 |
| 1972943991 | Elizabeth Lee Marchello | Social Worker | 5302 Flanagan Dr, Glastonbury, CT 06033-3295 | 2013-07-05 |
| 1093082380 | Robert J. Cleveland, Lcsw, LLC | Social Worker | 39 New London Turnpike, Suite 320, Glastonbury, CT 06033 | 2011-11-30 |
| 1922329499 | Dawn M Zeruk | Social Worker | 28 Chestnut Hill Ter, Glastonbury, CT 06033-4119 | 2010-06-18 |
| 1306178322 | Jill Soucy | Social Worker | 4 Pine Tree Ln, Glastonbury, CT 06033-3620 | 2010-02-01 |
| 1063747400 | Robin S Levine | Social Worker | 19 Carter Ln, Glastonbury, CT 06033-2217 | 2009-10-02 |
| 1790920114 | Mischa Elise Hadaway | Social Worker | 131 New London Tpke Ste 323, Glastonbury, CT 06033-2246 | 2008-12-15 |
| 1780856831 | Brian Andrew Zelesky | Social Worker | 25 Concord St, Glastonbury, CT 06033-2135 | 2008-03-28 |
| 1992845325 | Robert Johnston Trafford | Social Worker | 36 Welles St Ste 230, Glastonbury, CT 06033-2080 | 2007-02-07 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
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| 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.