Individual provider · Type 1 NPI

Sirrilla Denise Blackmon, LCSW

Clinical Social Worker · Indianapolis, IN

NPI number 1851418065 Active

Practice location

850 N Meridian St
Indianapolis, IN 46204-1098

Call (317) 554-2704 Map

Fax (317) 554-2721

Mailing address

10852 Tanbark Dr
Indianapolis, IN 46235-8158

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34002985A (IN)

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 1851418065

Sirrilla Denise Blackmon, LCSW's National Provider Identifier is 1851418065, issued on Mar 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.