| Sean M Blackburn, LCSW | |
|
120 Kentucky Ave Ste 110, Lexington, KY 40502-1978 | |
| (502) 409-6993 | |
| (502) 409-6775 |
| Full Name | Sean M Blackburn |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 37 Years |
| Location | 120 Kentucky Ave Ste 110, Lexington, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740764844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1500 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psychological And Behavioral Consultants Llc | 0446243760 | 459 |
| Entity Name | Psychological & Behavioral Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20160926002081 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean M Blackburn, LCSW 431 Darby Creek Rd Apt D, Lexington, KY 40509-1290 Ph: (859) 619-7475 | Sean M Blackburn, LCSW 120 Kentucky Ave Ste 110, Lexington, KY 40502-1978 Ph: (502) 409-6993 |
Mr. Adam Lynn Spencer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, Lexington, KY 40502 Phone: 859-233-4511 Fax: 859-281-4810 | |
Kenneth Edward Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2250 Leestown Rd, Lexington, KY 40511 Phone: 859-233-4511 Fax: 859-281-3823 | |
Mr. James C. Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Veterans Dr, 29-1-ld, Lexington, KY 40502 Phone: 859-281-3949 Fax: 859-281-3952 | |
Demetruis Renee Watson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1412 N Broadway Ste 204, Lexington, KY 40505 Phone: 859-412-1445 | |
Leeann Hayslett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 478 Stonehaven Dr, Lexington, KY 40505 Phone: 859-576-9656 | |
Wendy Ann Klaine, LCSW, LCADCA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1374 Bull Lea Rd, Lexington, KY 40511 Phone: 859-977-2501 | |
Keeley Chaffin, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 635 Maxwelton Court, Lexington, KY 40508 Phone: 859-252-1939 |