Healthcare Provider Details

I. General information

NPI: 1386846715
Provider Name (Legal Business Name): WILLIS EDWIN BLACKMORE LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 02/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1337 GUSDORF ROAD, SUITES E & F
TAOS NM
87571-6489
US

IV. Provider business mailing address

4787 NDCBU
TAOS NM
87571-6032
US

V. Phone/Fax

Practice location:
  • Phone: 575-758-4297
  • Fax: 575-751-7237
Mailing address:
  • Phone: 505-737-0142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberM-04831
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: