IndividualActive
Kerry Blackburn, LICSW
NPI 1073666012 · Clinical Social Worker · Burien, WA
Kerry Blackburn, LICSW is a Clinical Social Worker provider in Burien, WA (NPI 1073666012).
Provider details
- NPI number
- 1073666012
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- LW00005759 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
929 Sw 152nd St
Suite D
Burien, WA 98166-1843
Phone: (206) 431-3171
Fax: (206) 242-7330
Street-level locationGet directions
Mailing address
929 Sw 152nd St
Burien, WA 98166-1843
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kerry Blackburn's NPI number?
- Kerry Blackburn's National Provider Identifier (NPI) is 1073666012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kerry Blackburn's specialty?
- Kerry Blackburn is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kerry Blackburn located?
- Kerry Blackburn's practice location on file with NPPES is 929 Sw 152nd St, Burien, WA 98166-1843.
- What is Kerry Blackburn's phone number?
- The practice phone number listed in the NPPES registry for Kerry Blackburn is (206) 431-3171.
- Is Kerry Blackburn's NPI active?
- Yes — Kerry Blackburn's NPI (1073666012) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.