CLYDIE BLACKWELL RN
NPI 1063289635
Registered Nurse - Addiction (Substance Use Disorder) in East Saint Louis, IL

NPI Status: Active since December 05, 2023

Contact Information

505 S 8TH ST
EAST SAINT LOUIS, IL
ZIP 62201
Phone: (618) 474-7330

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  • Individual
  • Female
  • Registered Nurse
  • Addiction (Substance Use Disorder)

About CLYDIE BLACKWELL

This page provides the complete NPI Profile along with additional information for Clydie Blackwell, a provider established in East Saint Louis, Illinois with a medical specialization in Registered Nurse, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1063289635 assigned on December 2023. The practitioner's primary taxonomy code is 163WA0400X with license number 041165940 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1063289635
Provider Name
CLYDIE BLACKWELL RN
Gender
Female
Entity Type
Individual
Location Address
505 S 8TH ST EAST SAINT LOUIS, IL 62201
Location Phone
(618) 474-7330
Mailing Address
329 N 81ST ST CAHOKIA HEIGHTS, IL 62203
Mailing Phone
(770) 896-0187
Is Sole Proprietor?
Yes
Enumeration Date
12-05-2023
Last Update Date
12-05-2023
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A registered nurse (RN) like Clydie Blackwell coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

Addiction nurses - this registered nurse specializes in addiction medicine assisting patients in overcoming dependencies on alcohol, drugs, and other substances.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Registered Nurse Addiction (Substance Use Disorder)

Taxonomy Code
163WA0400X
Type
Nursing Service Providers
License No.
041165940
License State
IL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063289635
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123481866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 4 + 8 + 1 + 8 + 6 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1063289635 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598996324MRS. SANDRA M COLLIER MSW, LCSW
Individual
Social Worker (Clinical)505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330
1942510508SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 332-0953
1245978949 RITA LEMONS BYRD LCSW
Individual
Social Worker (Clinical)505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330
1902857808 TERRENCE C CASEY MD
Individual
Psychiatry & Neurology (Psychiatry)505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330
1063872570COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Organization
Substance Abuse Rehabilitation Facility505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330
1144499708COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Organization
Community Based Residential Treatment Facility, Mental Illness505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330
1255500377COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Organization
Community/Behavioral Health505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330
1356896252COMPREHENSIVE BEHAVIORAL HEALTH CENTER
Organization
Day Training, Developmentally Disabled Services505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330
1457013765COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330
1720094345COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330
1437328283COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Organization
Clinic/Center (Methadone)505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330
1447027016 WENDY FLEMING RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330
1508633173 ESTELISA BEVELY RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330
1003686825 MARY BETH E NEUFELD-WALL MSW, LCSW
Individual
Social Worker (Clinical)505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330
1225890478 DEBORAH DYLE LCSW
Individual
Social Worker (Clinical)505 S 8TH ST
EAST SAINT LOUIS, IL 62201
(618) 482-7330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063289635, enumerated in the NPI registry as an "individual" on December 05, 2023

The provider is located at 505 S 8th St East Saint Louis, Il 62201 and the phone number is (618) 474-7330

The provider's speciality is Registered Nurse with taxonomy code 163WA0400X with a focus in Addiction (Substance Use Disorder)

This NPI record was last updated on December 05, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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