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

Cecily E Blackman, LSCSW

Individual provider Clinical Social Worker · NPI 1417222936

Cecily E Blackman, LSCSW is a Clinical Social Worker in Olathe, Kansas. Qualified in 2000, 26 years ago. Practices with Lakemary Center Inc, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Missouri.

Years since qualifying
26
Licensed in
KS, MO
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

24305 W 107th Pl
Olathe, KS 66061-7581
Phone: (913) 219-5051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4055 (KS)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2023037094 (MO)

Record details

NPI number1417222936
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCSW
Sole proprietorNo
NPI enumeratedMarch 16, 2012
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address24305 W 107th Pl, Olathe, KS 66061-7581

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Lakemary Center Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Olathe