Desiree Ann Blackburn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

748-LCSW Issued in MT

Practice address

3675 Meadowlark Dr
East Helena, MT 59635

Phone

(406) 438-7015

NPI assigned

Apr 23, 2007

Last updated

Nov 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1821216987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 MEADOWLARK DR",
            "city": "EAST HELENA",
            "state": "MT",
            "postal_code": "596353116",
            "telephone_number": "406-438-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 MEADOWLARK DR",
            "city": "EAST HELENA",
            "state": "MT",
            "postal_code": "59635",
            "telephone_number": "406-438-7015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "496 Wines Way",
            "address_purpose": "LOCATION",
            "city": "Stevensville",
            "state": "MT",
            "postal_code": "598706060",
            "country_code": "US",
            "telephone_number": "406-529-2767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "DESIREE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "748-LCSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Alastra, RD, LCPC
• Dakota C Amy, DPT
• Adam Alexander Bobinski
• Charlotte June Branham, M.S., CCC
• Eric David Cheeseman, RT, RDCS
• Jocelyn Davis
• Paula Denise Dickson

• Clinical Social Worker in East Helena, MT
• Providers in East Helena, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.