Scott Alexander Blackburn, LMSW-P
Counselor, Mental Health in Pawhuska, OK. Individual provider (NPI-1).
NPI number1982202438
StatusActive
Last updated in NPPESOct 15, 2020
Details
- NPI
- 1982202438
- Entity type
- Individual (NPI-1)
- Name
- Scott Alexander Blackburn
- Credential
- LMSW-P
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2020
- Certification date
- Oct 15, 2020
- Last updated
- Oct 15, 2020
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 |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 7530-P | OK | Yes |
Practice location
124 E 6th StPawhuska, OK 74056-4204
Phone 918-604-6054
Mailing address
325 S Ash StNowata, OK 74048-4628
Phone 918-273-7344 · Fax 918-999-0111
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 11 Mental Health Counselor providers in Pawhuska · All 196 providers in Pawhuska
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