Kerry D Blackburn is a Clinical in Burien, Washington. Kerry D Blackburn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kerry D Blackburn is 1073666012. The last update date is 2007-07-08.
Kerry D Blackburn's current location address is 929 Sw 152nd St, Burien, Washington. You can contact this provider via phone number 2064313171 and fax number 2062427330. The mailing address for Kerry D Blackburn is 929 Sw 152nd St, Burien, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry D Blackburn |
|---|---|
| Address | 929 Sw 152nd St, Burien, Washington |
| Phone Number | 2064313171 |
| Fax Number | 2062427330 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1073666012 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 929 Sw 152nd St |
|---|---|
| City | Burien |
| State | Washington (WA) |
| Post Code | 981661843 |
| Phone Number | 2064313171 |
| Fax Number | 2062427330 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LW00005759 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code assigned to Kerry D Blackburn by the Centers for Medicare & Medicaid Services?
The Kerry D Blackburn has been issued the NPI (National Provider Identifier) 1073666012, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kerry D Blackburn's facilities are situated?
The facilities of Kerry D Blackburn are physically located at the following address: 929 Sw 152Nd St, Burien, WA, 981661843.
What is Kerry D Blackburn's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kerry D Blackburn's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073666012 to Kerry D Blackburn?
The Centers for Medicare & Medicaid Services assigned the 1073666012 to Kerry D Blackburn on 2007-01-22.
When was the information regarding Kerry D Blackburn most recently updated?
The details pertaining to the Kerry D Blackburn, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH