Thomas Blackwell, L.C.S.W. Valid NPI

Individual provider · Clinical Social Worker · Bridgeport, CT

NPI

1326330424

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

007599 (CT)

Sex

Male

Sole proprietor

Yes

Enumerated

2011-05-07

Last updated

2011-05-07