Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLIS EDWIN BLACKMORE, LMSW
Active Sole ProprietorMR. WILLIS EDWIN BLACKMORE, LMSW is a Clinical Social Worker healthcare provider located in TAOS, New Mexico. NPI 1386846715 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · TAOS, NM
Registration Details
- NPI Number
- 1386846715
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2007 (19.169263440636 yrs)
- Last Updated
- Feb 1, 2012
- License
-
M-04831 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1337 GUSDORF ROAD, SUITES E & FTAOS, NM, 875716489Browse NM providers · Browse ZIP 87571
- Phone
- 5757584297
- Fax
- 5757517237
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in TAOS, NM
| Name | Credential | NPI |
|---|---|---|
| CAROLYN J TOKLE BROWN | LISW | 1518965706 |
| MS. JUDY LYNN HINE VARGAS | LISW LCSW LPCC | 1184675662 |
| MRS. TRINIDAD DE JESUS ARGUELLO | RN, LISW, PH.D | 1841242336 |
| STEPHANIE A. GUTZ | LISW | 1619909207 |
| MS. JOEY BLUE | LISW | 1073520813 |
| MR. DANIEL WAYNE INGROFF | LISW LCSW | 1104924729 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.