MR. KERRY D BLACKBURN LICSW
NPI 1073666012
Social Worker - Clinical in Burien, WA

Active since January 22, 2007
929 SW 152ND ST, SUITE D, BURIEN, WA 98166(206) 431-3171(206) 242-7330 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kerry D Blackburn Licsw NPPES

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

MR. KERRY D BLACKBURN LICSW (NPI 1073666012) is an individual clinical provider in Burien, Washington, licensed in Washington (LW00005759) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1073666012
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KERRY D BLACKBURNCredential: LICSW
Location Address929 SW 152ND ST, SUITE DBurien, WA 98166-1843
Mailing Address929 Sw 152nd St, Suite DBurien, WA 98166-1843 · (206) 431-3171 · Fax (206) 242-7330
Fax(206) 242-7330
Sole ProprietorYes
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1073666012 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 WA · LW00005759
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.

929 SW 152ND ST, Burien, WA 98166

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 Kerry Blackburn's NPI number?

The NPI number for Kerry Blackburn is 1073666012. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Kerry Blackburn located?

Kerry Blackburn practices at 929 SW 152nd St Suite D, Burien, WA 98166. The listed phone number is (206) 431-3171.

What is Kerry Blackburn's specialty?

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

When was this NPI record last updated?

The NPPES record for Kerry Blackburn was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.