Colleen Blackford, LCSW
Social Worker, Clinical in Rockville Centre, NY. Individual provider (NPI-1).
NPI number1972018497
StatusActive
Last updated in NPPESDec 6, 2017
Details
- NPI
- 1972018497
- Entity type
- Individual (NPI-1)
- Name
- Colleen Blackford
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2017
- Last updated
- Dec 6, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 085532-1 | NY | Yes |
Other names
- Colleen Creagan (Former Name)
Practice location
165 N Village Ave Ste 216Rockville Centre, NY 11570-3701
Phone 516-665-9669 · Fax 516-665-9670
Mailing address
165 N Village Ave Ste 216Rockville Centre, NY 11570-3701
Phone 516-665-9669 · Fax 516-665-9670
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 105 Clinical Social Worker providers in Rockville Centre · All 1,762 providers in Rockville Centre
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