NPI 1851433668 · live from the CMS NPI Registry
Dealy E. Blackshear, LCSW
Social Worker, Clinical in Nome, AK. National Provider Identifier 1851433668, active.
NPI record
| NPI | 1851433668 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 5th And Division Streets, Nome, AK 99762 |
| Practice phone | 907-443-3289 |
| Mailing address | Po Box 1802, 605 Lomens Street, Nome, AK 99762 |
| Enumerated | February 12, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 635 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.