Art Blackburn | Brentwood, TN • PECOS Search

Art Blackburn

Social Worker

Behavioral Health & Social Service Providers

1616 Westgate Cir, Brentwood, TN 37027-8019

(615) 844-6114 (615) 776-5393

PECOS Enrollment

Based on the most recent information from CMS, provider Art Blackburn does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:54 AM.

Profile Details

Provider ID
1851402267
Provider Type
Individual
Full Name
Blackburn, Art
Title
Mr.
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/31/2006
Last Updated
2/2/2011

Contact Information

Practice Location

1616 Westgate Cir, Brentwood, TN 37027-8019

(615) 844-6115

Mailing Location

875 Arlington Heights Dr, Brentwood, TN 37027-8159

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 903 Tennessee