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

Mr. Thomas Blackwell Jr., LCSW

Individual provider Clinical Social Worker · NPI 1326330424

Mr. Thomas Blackwell Jr., LCSW is a Clinical Social Worker in Bridgeport, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2011
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

80 Virginia Ave
Bridgeport, CT 06610-1506
Phone: (203) 814-2176
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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 · Licence 007599 (CT)

Record details

NPI number1326330424
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 7, 2011
Last updated in NPPESMay 7, 2011

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