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

Mr. Willis Edwin Blackmore, LMSW

Individual provider Clinical Social Worker · NPI 1386846715

Mr. Willis Edwin Blackmore, LMSW is a Clinical Social Worker in Taos, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2007
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

1337 Gusdorf Road Suites E & F
Taos, NM 87571-6489
Phone: (575) 758-4297
Fax: (575) 751-7237
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 M-04831 (NM)

Record details

NPI number1386846715
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedJune 5, 2007
Last updated in NPPESFebruary 1, 2012

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