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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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