Provider Demographics
NPI:1821972316
Name:BLACKMAN, CELESTE (CHW)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:
Last Name:BLACKMAN
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14565 ROSELAWN ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48238-1871
Mailing Address - Country:US
Mailing Address - Phone:313-969-9928
Mailing Address - Fax:
Practice Address - Street 1:14565 ROSELAWN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48238-1871
Practice Address - Country:US
Practice Address - Phone:313-969-9928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management