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DERRIEK BLACKWELL CSW
NPI 1770339756
Counselor - Mental Health in Taylorsville, UT

Active since April 29, 2024
5663 S REDWOOD RD, SUITE 2, OFFICE 10, TAYLORSVILLE, UT 84123(801) 742-5851 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derriek Blackwell Csw NPPES

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

DERRIEK BLACKWELL CSW (NPI 1770339756) is an individual mental health provider in Taylorsville, Utah, licensed in Utah (13844125-3502) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1770339756
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERRIEK BLACKWELLCredential: CSW
Location Address5663 S REDWOOD RD, SUITE 2, OFFICE 10Taylorsville, UT 84123
Mailing Address5663 S Redwood Rd, Suite 2, Office 10Taylorsville, UT 84123 · (801) 742-5851
Phone(801) 742-5851
Sole ProprietorNo
Enumeration DateApril 29, 2024
NPPES CertifiedApril 29, 2024
✔ NPI 1770339756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 13844125-3502
5663 S REDWOOD RD, Taylorsville, UT 84123
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA MILOVICH CSW
Social Worker (Clinical)
5663 S REDWOOD RD
TAYLORSVILLE, UT 84123
Salt Lake County (801) 742-1043
KAREN SOLEDAD FOSTER CSW
Social Worker (Clinical)
5663 S REDWOOD RD, SUITE 2 OFFICE 10
TAYLORSVILLE, UT 84123
Salt Lake County (801) 742-5851
RICHARD BRADY
Counselor
5663 S REDWOOD RD
SALT LAKE CITY, UT 84123
Salt Lake County (801) 664-4228

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 Derriek Blackwell's NPI number?

The NPI number for Derriek Blackwell is 1770339756. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Derriek Blackwell located?

Derriek Blackwell practices at 5663 S Redwood Rd Suite 2, Office 10, Taylorsville, UT 84123. The listed phone number is (801) 742-5851.

What is Derriek Blackwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Derriek Blackwell was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.