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

MS. Carolyn Rae Blackdeer, LCSW

Individual provider Clinical Social Worker · NPI 1013686658

MS. Carolyn Rae Blackdeer, LCSW is a Clinical Social Worker in Tomah, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021
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

500 E Veterans St
Tomah, WI 54660-3105
Phone: (608) 372-3971
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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 9774-123 (WI)

Record details

NPI number1013686658
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 8, 2021
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

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