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

Derriek Blackwell, CSW

Individual provider Mental Health Counselor · NPI 1770339756

Derriek Blackwell, CSW is a Mental Health Counselor in Taylorsville, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

5663 S Redwood Rd Ste 2 Ofc 10
Taylorsville, UT 84123
Phone: (801) 742-5851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 13844125-3502 (UT)

Record details

NPI number1770339756
Entity typeIndividual (Type 1)
GenderMale
Credentials CSW
Sole proprietorNo
NPI enumeratedApril 29, 2024
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

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