Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. THEODORE WILLIAM BLICKWEDEL II, MSW, LICSW

Active

MR. THEODORE WILLIAM BLICKWEDEL II, MSW, LICSW is a Mental Health Counselor healthcare provider located in JOHNSTON, Rhode Island. NPI 1669957932 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · JOHNSTON, RI

Registration Details

NPI Number: 1669957932
Provider Type: Individual
Gender: Male
NPI Issued: Oct 2, 2018 (7.8237882320693 yrs)
Last Updated: Oct 2, 2018
License: ISW02141 (RI)

Practice Information

Address: 1395 ATWOOD AVE STE 201

JOHNSTON, RI, 029194931
Browse RI providers · Browse ZIP 02919
Phone: 4013837633
Fax: 8772664503
Primary Specialty: Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in JOHNSTON, RI

Name	Credential	NPI
MRS. RANA M DEQUATTRO	LCMHC	1053404004
DEBRA L ALCUSKY	LICSW	1134275571
ANDREW M KRICHAK II	—	1457570152
STEVEN WASILEWSKI	MASTERS	1952552564
VIOLET C MORIN	LICSW	1801026489
MRS. KAYLA VILLEGAS	MA, CAGS,LCDP, LMHC	1255663787

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.