MRS. TINA ELLEN BLACKWELL (NPI# 1487703666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487703666 |
| Entity Type | Individual |
| Full Name | MRS. TINA ELLEN BLACKWELL |
| Credential | LCSW-C |
| Practice Address |
37 Main St Reisterstown MD 21136-1236 |
| Mailing Address |
4007 Log Trail Way Reisterstown MD 21136-1841 |
| Practice Telephone | 4105267882 |
| Practice Fax Number | 4105269855 |
| Mailing Telephone | 4108336094 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3166 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043867427 | Tina Blackwell | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-08-21 |
| 1316246838 | Tina M Blackwell | Counselor | 204 Cook Rd, Lebanon, OH 45036-9600 | 2011-03-23 |
| Street Address |
37 MAIN ST |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083241897 | Joshua Mandell | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2020-03-24 |
| 1275177263 | Chelsea Christine Bope | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2019-11-01 |
| 1578106704 | Philip Browning | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2019-10-21 |
| 1811466089 | Christy Evelyn Spacek | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2018-11-17 |
| 1336635515 | Tijana Jirecek | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2018-07-10 |
| 1023526928 | Rachel Bacon | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2018-01-14 |
| 1801306139 | Patricia Estes | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2017-09-29 |
| 1598283285 | Kaitlin Alexandra Ames | Counselor | 37 Main St, Reisterstown, MD 21136-1236 | 2017-09-02 |
| 1235684333 | Elisheva Frydman-kates | Social Worker | 37 Main St, Reisterstown, MD 21136-1236 | 2016-08-18 |
| 1558815993 | Tasha Hickey | Social Worker | 37 Main St, Reisterstown, MD 21136-1236 | 2016-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| Find all providers in zip 21136 | ||||
| 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 |
|---|---|---|---|---|
| 1235737305 | Cecily Staples | Social Worker | 12039 Reisterstown Rd # 21136, Reisterstown, MD 21136-3042 | 2020-10-12 |
| 1659935617 | Akindele Sangodeyi | Social Worker | 10979 Baskerville Rd, Reisterstown, MD 21136-6415 | 2019-04-25 |
| 1346708187 | In Treatment LLC | Social Worker | 301 Main St Ste 2d, Reisterstown, MD 21136-1957 | 2019-03-12 |
| 1013482900 | Rosewater Wellness LLC | Social Worker | 143 Main St Rear, Reisterstown, MD 21136-1252 | 2018-10-08 |
| 1487177259 | Karen Lynn Richards | Social Worker | 719 Cockeys Mill Rd, Reisterstown, MD 21136-5117 | 2017-07-24 |
| 1023557600 | Lori Lickstein | Social Worker | 713 Wilson Green Ct, Reisterstown, MD 21136-1746 | 2017-02-16 |
| 1558736793 | Tatum Bullock | Social Worker | 345 Town Green Way, Reisterstown, MD 21136-1618 | 2015-12-12 |
| 1134514482 | Richard Blackwell | Social Worker | 4007 Log Trail Way, Reisterstown, MD 21136-1841 | 2015-04-03 |
| 1891193801 | Find A Way, LLC | Social Worker | 339 Stonecastle Ave, Reisterstown, MD 21136-3522 | 2014-12-08 |
| 1114260262 | Shanika La'tia Burke | Social Worker | 200 Janet Ct, Reisterstown, MD 21136-2120 | 2013-03-27 |
| Find all providers in REISTERSTOWN | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
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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.