Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackbird Rising Mental Health LLC

Organization Clinical Social Worker · NPI 1629991146

Blackbird Rising Mental Health LLC is a Clinical Social Worker in Mystic, Connecticut. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14 Masons Island Rd Unit 11
Mystic, CT 06355-2958
Phone: (503) 440-3088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1629991146
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danielle Buffington — Owner · (503) 440-3088
NPI enumeratedAugust 1, 2026
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026
Mailing address320 Indigo St, Mystic, CT 06355-1326

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