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Contact Information

DIANE M BLACKWOOD, LMSW LADC
31 UNION ST
VERNON, CT06066-3126
 Phone: 860-872-0501
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for DIANE M BLACKWOOD · (Female)

NPI # 1811407133
Status Active
Credentials LMSW LADC
Entity Individual
Enumeration date 10/02/2017
Last updated 10/02/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 1040
  • CT License # 1239
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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