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

Individual provider Clinical Social Worker · NPI 1164068128

Samantha Blackadar, LCSW, LICSW is a Clinical Social Worker in South Portland, Maine. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

100 Gannett Dr
South Portland, ME 04106-5900
Phone: (207) 854-1030
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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 LC18385

Record details

NPI number1164068128
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LICSW
Sole proprietorYes
NPI enumeratedNovember 25, 2019
Last updated in NPPESNovember 25, 2019

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