Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blackbird Rising Mental Health LLC

Organization Clinical Social Worker · NPI 1629991146

Blackbird Rising Mental Health LLC provides Clinical Social Worker services in Mystic, Connecticut. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14 Masons Island Rd Unit 11
Mystic, CT 06355-2958
Phone: (503) 440-3088
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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

Record details

NPI number1629991146
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danielle Buffington — Owner · (503) 440-3088
NPI enumeratedAugust 1, 2026
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026
Mailing address320 Indigo St, Mystic, CT 06355-1326

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