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

Charles Blackmar, LCSW

Individual provider Case Manager/Care Coordinator · NPI 1194925461

Charles Blackmar, LCSW is a Case Manager/Care Coordinator in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6118 SE Belmont St Ste 402
Portland, OR 97215-1983
Phone: (712) 206-2139
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L6504 (OR)
Case Manager/Care Coordinator Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X
Adult Companion Taxonomy 372600000X

Record details

NPI number1194925461
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 24, 2007
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

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