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

Mary Beth R Blackwell LCSW LLC

Organization Clinical Social Worker · NPI 1578395950

Mary Beth R Blackwell LCSW LLC is a Clinical Social Worker in Ormond Beach, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

220 Arlington Way
Ormond Beach, FL 32176-8164
Phone: (386) 882-7251
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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 number1578395950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Beth Blackwell — Owner · (386) 882-7251
NPI enumeratedAugust 15, 2024
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address220 Arlington Way, Ormond Beach, FL 32176-8164

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