TATYANA BLACKMON LCSW
NPI 1063214633
Social Worker - Clinical in Tamarac, FL

Active since March 25, 2025PECOS Enrolled
6170 ROCK ISLAND RD APT 201, TAMARAC, FL 33319(561) 543-2534 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tatyana Blackmon Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATYANA BLACKMON LCSW (NPI 1063214633) is an individual clinical provider in Tamarac, Florida, licensed in Florida (SW23740) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063214633
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTATYANA BLACKMONCredential: LCSW
Location Address6170 ROCK ISLAND RD APT 201Tamarac, FL 33319-2693
Mailing Address6170 Rock Island Rd Apt 201Tamarac, FL 33319-2693
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
NPI 1063214633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in FL · SW23740
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

6170 ROCK ISLAND RD APT 201, Tamarac, FL 33319

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tatyana Blackmon Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981192812
PECOS Enrollment IDI20251022005035
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33319 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.56 – $179.05
Typical copayment $0.00 (range $14.64 – $44.76)
Most-billed visit code NA
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tatyana Blackmon's NPI number?

The NPI number for Tatyana Blackmon is 1063214633. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Tatyana Blackmon located?

Tatyana Blackmon practices at 6170 Rock Island Rd Apt 201, Tamarac, FL 33319. The listed phone number is (561) 543-2534.

What is Tatyana Blackmon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tatyana Blackmon enrolled in Medicare?

Yes. Tatyana Blackmon is registered in the Medicare PECOS enrollment system.

What insurance does Tatyana Blackmon accept?

Health plans from UnitedHealthcare list Tatyana Blackmon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tatyana Blackmon was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.