Caitlin Blackwell | Newport News, VA • PECOS Search

Caitlin Blackwell

Social Worker

Behavioral Health & Social Service Providers

729 Thimble Shoals Blvd Ste 7d, Newport News, VA 23606-4246

PECOS Enrollment

Based on the most recent information from CMS, provider Caitlin Blackwell 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 2 days ago.

Profile Details

Provider ID
1992217301
Provider Type
Individual
Full Name
Blackwell, Caitlin
Gender
Female

Sole Proprietor
No
Enumeration Date
10/26/2017
Last Updated
10/26/2017

Contact Information

Practice Location

729 Thimble Shoals Blvd Ste 7d, Newport News, VA 23606-4246

(757) 599-1013

Mailing Location

211 Broad St, Portsmouth, VA 23707-1601

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 0904010029 Virginia