| Kim Nelson-blackburn, LCSW | |
|
1265 N Bradford Dr, Delphi, IN 46923-9553 | |
| (765) 564-2247 | |
| Not Available |
| Full Name | Kim Nelson-blackburn |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 31 Years |
| Location | 1265 N Bradford Dr, Delphi, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811294168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34004056A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Behavioral Care Of Colorado, P.c. | 0941648463 | 150 |
| Entity Name | Optum Behavioral Care Of Colorado, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497525828 PECOS PAC ID: 0941648463 Enrollment ID: O20240408000776 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Nelson-blackburn, LCSW 1265 N Bradford Dr, Delphi, IN 46923-9553 Ph: () - | Kim Nelson-blackburn, LCSW 1265 N Bradford Dr, Delphi, IN 46923-9553 Ph: (765) 564-2247 |
Anne Hunte, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1265 N Bradford Dr, Delphi, IN 46923 Phone: 765-564-2247 | |
Lora Davis, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1265 N Bradford Dr, Delphi, IN 46923 Phone: 765-564-2247 | |
Lacie Suzanne Tomson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 425 N Washington St, Delphi, IN 46923 Phone: 765-202-4497 | |
Donald W Bishop Sr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1265 N Bradford Dr, Delphi, IN 46923 Phone: 765-564-2247 | |
Stephanie Hostetler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1265 N Bradford Dr, Delphi, IN 46923 Phone: 765-564-2247 | |
Marilyn Minich, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1265 N Bradford Dr, Delphi, IN 46923 Phone: 765-564-2249 | |
Stephanie Milan, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 304 W Front St, Delphi, IN 46923 Phone: 765-202-2574 |