Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryson Dale Blackburn, LCSW

Individual provider Clinical Social Worker · NPI 1891208393

Bryson Dale Blackburn, LCSW is a Clinical Social Worker in Arcadia, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

725 N 12th Ave
Arcadia, FL 34266-8752
Phone: (863) 494-1242
Fax: (863) 491-0466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence SW14904 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW14904 (FL)

Record details

NPI number1891208393
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 7, 2017
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023

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