Individual provider · Type 1 NPI
Kerry D. Blackburn, LICSW
Clinical Social Worker · Burien, WA
Practice location
929 SW 152nd St, Suite D
Burien, WA 98166-1843
Fax (206) 242-7330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LW00005759 (WA) |
Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1073666012
Kerry D. Blackburn, LICSW's National Provider Identifier is 1073666012, issued on Jan 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Burien, WA. The record was last updated on Jul 8, 2007.