MR. KERRY D BLACKBURN (LICSW) – Clinical Social Worker, NPI 1073666012

MR. KERRY D BLACKBURN (LICSW) is a healthcare provider. based in Burien, Washington. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. LW00005759 (WA). The NPI Number for MR. KERRY D BLACKBURN (LICSW) is 1073666012

Main info

Male
Sole Proprietor
Name
MR. KERRY D BLACKBURN (LICSW)
NPI
1073666012
Phone
(206) 431-3171
Address
929 SW 152ND ST
Enumeration Date
22 January 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for MR. KERRY D BLACKBURN (LICSW)

  • 929, Southwest 152nd Street, Burien, King County, Washington, 98166, United States

    SUITE D

    BURIEN, WA 981661843

    Phone: (206) 431-3171

    Fax: (206) 242-7330

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98166)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to MR. KERRY D BLACKBURN (LICSW)?
NPI 1073666012 is assigned to MR. KERRY D BLACKBURN (LICSW) under the national enumeration system.
Is MR. KERRY D BLACKBURN (LICSW) currently active in the NPI registry?
CMS-published data lists MR. KERRY D BLACKBURN (LICSW) as an active registrant.
What field does MR. KERRY D BLACKBURN (LICSW) work in?
You can think of MR. KERRY D BLACKBURN (LICSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. KERRY D BLACKBURN (LICSW)?
The page summarizes Burien, Washington for MR. KERRY D BLACKBURN (LICSW); expand the address list for detail.
How can I contact MR. KERRY D BLACKBURN (LICSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

Unknown Individual

Clinical Social Worker
Momentum Music & Dance Academy, 15811, Ambaum Boulevard Southwest, Five Corners, Burien, King County, Washington, 98148-1213, United States
NPI: 1235235904

KEISHA S HAY (LICSW, GMHS)

Clinical Social Worker
PO BOX 34584
NPI: 1518002518

MS. MARTHA LOUISE DAVIS (MSW)

Clinical Social Worker
14249 R, Ambaum Boulevard Southwest, Burien, King County, Washington, 98166, United States
NPI: 1093905622

SUE MARY STEVENS (MSW)

Clinical Social Worker
920, Southwest 152nd Street, Burien, King County, Washington, 98166, United States
NPI: 1184807356
112 Mark Twain Dr Apt 26
NPI: 1417135146

ALLISON L MASTRANGELO

Clinical Social Worker
14601, 24th Avenue Southwest, Seahurst, Burien, King County, Washington, 98166, United States
NPI: 1568600799

SCOTT B MARTIN (LICSW)

Clinical Social Worker
12158, Shorewood Drive Southwest, Seola Beach, Burien, King County, Washington, 98146, United States
NPI: 1588990667

SOKUNTHEA OK

Clinical Social Worker
3639 MARTIN LUTHER KING JR WAY S
NPI: 1982978649

MRS. JULIE KAY AMBROSE (LICSW)

Clinical Social Worker
929 SW 152ND ST UNIT D
NPI: 1760749964