Individual
ELISSA BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 GOOD HOPE RD SE, WASHINGTON, DC 20020-5615
(202) 796-5000
Mailing address
2330 GOOD HOPE RD SE APT 719, WASHINGTON, DC 20020-4141
(347) 373-3583
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC200003566
DC
104100000X
Social Worker
Primary
LG50083168
DC
Other
Enumeration date
12/23/2022
Last updated
11/26/2025
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