Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Kerry D Blackburn, LICSW

Clinical Social Worker in Burien, WA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073666012

Verified

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Registry record

Entity type Individual (Type 1)

Name Mr. Kerry D Blackburn

Credential LICSW

Sex Male

Practice address Burien, WA, 98166

Phone (206) 431-3171

Fax (206) 242-7330

Enumeration date Jan 22, 2007

Last updated in NPPES Jul 8, 2007

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License LW00005759 (WA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kerry Blackburn?

The National Provider Identifier (NPI) for Kerry Blackburn is 1073666012, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kerry Blackburn practice?

The practice location on file with NPPES is in Burien, WA. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.