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

Tatyana Blackmon, LCSW

Individual provider Clinical Social Worker · NPI 1063214633

Tatyana Blackmon, LCSW is a Clinical Social Worker in Tamarac, Florida. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2025
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

6170 Rock Island Rd Apt 201
Tamarac, FL 33319-2693
Phone: (561) 543-2534
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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 SW23740 (FL)

Record details

NPI number1063214633
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 25, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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