E. Blackwell, LCSW, CAC

NPI 1285861716 · on the registry since 2009 · sole proprietor

Practice

Address: 140 Glastonbury Blvd
Somerset Sq. 2nd Floor
Glastonbury, CT 06033
Phone: (860) 212-5824
Organisation at this address: Robin Segal, Od Llc
Therapeutic Collaborations, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut