Richard Blackwell (NPI# 1134514482, PAC ID# 0648591636) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1134514482 |
| PAC ID by PECOS | 0648591636 |
| Professional Enrollment ID | I20150602002440 |
| Full Name | Richard Blackwell |
| Organization Legal Name | MAIN STREET MOBILE TREATMENT ASSOCIATES INC |
| Address |
37 Main St Reisterstown MD 21136-1236 |
| Phone Number | 4106546658 |
| Gender | M |
| Graduation Year | 1975 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7416911342 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 37 Main St, Reisterstown, MD 21136-1236 | 4106546658 | MAIN STREET MOBILE TREATMENT ASSOCIATES INC |
| Organization Legal Name | MAIN STREET MOBILE TREATMENT ASSOCIATES INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen R Love | Clinical Social Worker | Main Street Mobile Treatment Associates Inc | 37 Main St, Reisterstown, MD 21136-1236 |
| Jacob Tendler | Psychiatry | Main Street Mobile Treatment Associates Inc | 37 Main St, Reisterstown, MD 21136-1236 |
| Lilly S Laporta | Psychiatry | Main Street Mobile Treatment Associates Inc | 37 Main St, Reisterstown, MD 21136-1236 |
| Street Address |
37 MAIN ST |
| City | REISTERSTOWN |
| State | MD |
| Zip | 21136-1236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay K Mayock | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Marissa St. Germain | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Jeffrey Hanson | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| William D Ryan | Family Medicine | Faxton - St Lukes Healthcare | 37 Main St, Whitesboro, NY 13492-1034 |
| Andrew B Rudo | Psychiatry | 37 Main St, Reisterstown, MD 21136-1236 | |
| Erin Lee Carroll | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Julie Laracy | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Linda E Busch Somach | Psychologist, Clinical | 37 Main St, Suite 1067, Sparta, NJ 07871-1903 | |
| Betsy Donovan | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Jaclyn S Salldin | Physical Therapy | Mountain Center Physical Therapy and Sports Rehab Inc. | 37 Main St, Conway, NH 03818-6166 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin G. Bache | Chiropractic | 46 Westminster Rd, Reisterstown, MD 21136-1025 | |
| Jon D Koman | Orthopedic Surgery | Koman Orthopedics and Sports Medicine LLC | 116 Westminister Pike, Suite 100, Reisterstown, MD 21136-1027 |
| Tatyana Reznikov | Physical Medicine and Rehabilitation | 116 Westminster Pike, Suite 106, Reisterstown, MD 21136-1027 | |
| David Alvarado | Physician Assistant | Koman Orthopedics and Sports Medicine LLC | 116 Westminister Pike, Suite 100, Reisterstown, MD 21136-1027 |
| Paul Moroney | Physical Therapy | Koman Orthopedics and Sports Medicine LLC | 116 Westminister Pike, Suite 100, Reisterstown, MD 21136-1027 |
| Michael S Goldman | Diagnostic Radiology | Advanced Radiology Pa | 113 Westminster Pike, Suite 103, Reisterstown, MD 21136-1050 |
| Rebecca L Roller | Diagnostic Radiology | Advanced Radiology Pa | 113 Westminster Pike, Suite 103, Reisterstown, MD 21136-1050 |
| Frederic K Yeganeh | Diagnostic Radiology | Advanced Radiology Pa | 113 Westminster Pike, Suite 103, Reisterstown, MD 21136-1050 |
| Jennifer C Correa-elkins | Clinical Social Worker | Chesapeake Behavioral Health Center, LLC | 217 Main St B, Reisterstown, MD 21136-1213 |
| Elsa Victoria Correa-deleonardo | Nurse Practitioner | Chesapeake Behavioral Health Center, LLC | 217 Main St B, Reisterstown, MD 21136-1213 |
| Find all physicians in zip 21136 | |||
| City | REISTERSTOWN |
| Zip Code | 21136 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | REISTERSTOWN + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Richard Blackwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.