Blackman, Nicole Marie
Blackman, Nicole Marie is an individual health care provider with primary practice located at 3020 Children'S Way Mc 5100, San Diego CA 92123. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blackman, Nicole Marie can be contacted via phone (858) 576-1700.Contact Information
Primary practice address
3020 Children'S Way Mc 5100
San Diego CA 92123
Phone: (858) 576-1700
Fax: (619) 615-0705
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 20230 | California |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 29180 | California |
Profile Details
NPI number | 1346380334 |
---|---|
LBN Legal business name | Blackman, Nicole Marie |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2007 |
Last updated | Mar 4th, 2021 - about 3 years ago |
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.
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