Blackman, Jirzia F
Blackman, Jirzia F is an sole proprietor health care provider with primary practice located at 11901 Toepperwein Rd Ste 1106 , Live Oak TX 78233-3159. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blackman, Jirzia F can be contacted via phone (210) 286-9339.Contact Information
Primary practice address
11901 Toepperwein Rd Ste 1106
Live Oak TX 78233-3159
Phone: (210) 286-9339
Fax: (210) 951-8962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 080819-1 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 64619 | Texas |
Profile Details
| NPI number | 1952734980 |
|---|---|
| LBN Legal business name | Blackman, Jirzia F |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2013 |
| Last updated | Apr 1st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952734980 | NPPES |
| Texas | MEDICAID | 378569302 |
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