Provider Demographics
NPI:1891687307
Name:BLACKMAN, KAREN (MSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BLACKMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WATCHMAN CT
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-4930
Mailing Address - Country:US
Mailing Address - Phone:585-230-7259
Mailing Address - Fax:
Practice Address - Street 1:22 APPIAN DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14606-4721
Practice Address - Country:US
Practice Address - Phone:585-230-1759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care