Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERICA BLACKMON, LMSW
Active Sole ProprietorDERICA BLACKMON, LMSW is a Social Worker healthcare provider located in MC GEHEE, Arkansas. NPI 1679439475 is currently active in the NPPES registry. Verify at CMS.
Social Worker · MC GEHEE, AR
Registration Details
- NPI Number
- 1679439475
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 25, 2025 (0.59372603766289 yrs)
- Last Updated
- Jan 4, 2026
- Licenses
-
26359-M (AR)26359-M (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
307 W POPLAR STMC GEHEE, AR, 716542548Browse AR providers · Browse ZIP 71654
- Phone
- 8702227314
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
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.