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Contact Information

ELISSA BLACKWELL
1418 GOOD HOPE RD SE
WASHINGTON, DC20020-5615
 Phone: 202-796-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ELISSA BLACKWELL · (Female)

NPI # 1134831951
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2022
Last updated 11/26/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • DC License # LC200003566
  • DC License # LG50083168
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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