Derica Blackmon, LMSW is a
Social Worker based in Mc Gehee, Arkansas. Derica Blackmon is licensed to practice in Arkansas (license number 26359-M) and her current practice location is
307 W Poplar St, Mc Gehee, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 222-7314.
NPI number for Derica Blackmon is 1679439475 and her current mailing address is 307 W Poplar St, Mc Gehee, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679439475.
Healthcare Provider's Profile
| Full Name | Derica Blackmon |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 307 W Poplar St, Mc Gehee, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679439475
- Provider Enumeration Date: 12/25/2025
- Last Update Date: 01/04/2026
Medical Identifiers
Medical identifiers for Derica Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679439475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 26359-M (Arkansas) | Secondary |
| 104100000X | Social Worker | 26359-M (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derica Blackmon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Derica Blackmon, LMSW 307 W Poplar St, Mc Gehee, AR 71654-2548 Ph: (870) 222-7314 | Derica Blackmon, LMSW 307 W Poplar St, Mc Gehee, AR 71654-2548 Ph: (870) 222-7314 |
Reviews and Comments