Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KERRY D BLACKBURN, LICSW
Active Sole ProprietorMR. KERRY D BLACKBURN, LICSW is a Clinical Social Worker healthcare provider located in BURIEN, Washington. NPI 1073666012 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BURIEN, WA
Registration Details
- NPI Number
- 1073666012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2007 (19.414988224138 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LW00005759 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
929 SW 152ND STSUITE DBURIEN, WA, 981661843Browse WA providers · Browse ZIP 98166
- Phone
- 2064313171
- Fax
- 2062427330
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BURIEN, WA
| Name | Credential | NPI |
|---|---|---|
| MS. MARTHA LOUISE DAVIS | MSW | 1093905622 |
| MS. MARIA CAMPBELL LATHROP-SKALOS | LCSW, LICSW, BCD | 1417135146 |
| ALLISON L MASTRANGELO | — | 1568600799 |
| SCOTT B MARTIN | LICSW | 1588990667 |
| MRS. JULIE KAY AMBROSE | LICSW | 1760749964 |
| NATHAN EZZO | — | 1952646903 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.