Mrs Tanya Marie Blackshear, LCSW, LIFE COACH - Clinical Social Worker in Champaign, IL

Mrs Tanya Marie Blackshear, LCSW, LIFE COACH is a Social Worker - Clinical based in Champaign, Illinois. Mrs Tanya Marie Blackshear is licensed to practice in Illinois (license number 149.016668) and her current practice location is 3347 Stoneway Ct, Champaign, Illinois. She can be reached at her office (for appointments etc.) via phone at (217) 721-3062.

NPI number for Mrs Tanya Marie Blackshear is 1598068843 and her current mailing address is 3347 Stoneway Ct, Champaign, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598068843.

Contact Information

Mrs Tanya Marie Blackshear, LCSW, LIFE COACH
3347 Stoneway Ct,
Champaign, IL 61822-2404
(217) 721-3062
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Tanya Marie Blackshear
GenderFemale
SpecialitySocial Worker - Clinical
Location3347 Stoneway Ct, Champaign, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598068843
  • Provider Enumeration Date: 12/08/2010
  • Last Update Date: 07/14/2014

Medical Identifiers

Medical identifiers for Mrs Tanya Marie Blackshear such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598068843NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149.016668 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tanya Marie Blackshear is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tanya Marie Blackshear, LCSW, LIFE COACH
3347 Stoneway Ct,
Champaign, IL 61822-2404

Ph: (217) 721-3062
Mrs Tanya Marie Blackshear, LCSW, LIFE COACH
3347 Stoneway Ct,
Champaign, IL 61822-2404

Ph: (217) 721-3062

Reviews and Comments


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