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

Mr. Samuel Austin Blackwood, CADC, CAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568649937

Mr. Samuel Austin Blackwood, CADC, CAS is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

3148 Midway Dr
San Diego, CA 92110-4539
Phone: (619) 363-0853
Fax: (619) 362-9905
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence C3881214 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1568649937
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC , CAS
Sole proprietorNo
NPI enumeratedJanuary 28, 2008
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

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