IndividualActive
Amie Blackburn, LCSW
NPI 1053709063 · Clinical Social Worker · Leesville, LA
Provider details
- NPI number
- 1053709063
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 11723 (LA)
Mailing address
3353 University Pkwy
Leesville, LA 71446-9041
Registry dates
- Enumerated
- 2014-12-27
- Last updated
- 2023-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.