Individual provider · Type 1 NPI
Derica Blackmon, LCSW-C
Clinical Social Worker · Mc Gehee, AR
Practice location
307 W Poplar St
Mc Gehee, AR 71654-2548
Mailing address
PO Box 307
Mc Gehee, AR 71654-0307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 34603 (MD) |
| Clinical Social Worker | 1041C0700X | 26359-M (AR) |
| Social Worker | 104100000X | 26359-M (AR) |
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…
About NPI 1679439475
Derica Blackmon, LCSW-C's National Provider Identifier is 1679439475, issued on Dec 25, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mc Gehee, AR. The record was last updated on Sep 28, 2026.