Cecily E. Blackman, LSCSW
NPI 1417222936ActiveIndividual· Social Worker, Clinical· Olathe, KS
Social Worker, Clinical (LSCSW) with Lakemary Center Inc, practicing in Olathe, Kansas. Medicare paid $49,213 for services to 47 patients in 2024.
Overview
| NPI | 1417222936 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LSCSW |
| Sole proprietor | No |
| NPI issued | Mar 16, 2012 |
| Last updated in NPPES | Jul 10, 2024 |
| Certified by provider | Jul 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 4055 | KS |
| Social Worker, Clinical | 1041C0700X | 2023037094 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (KS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 1,314 across 4 procedure codes |
| Paid by Medicare | $49,213 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Lakemary Center IncPaola, KS · 5 clinicians
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All 177 clinical social workers in Olathe · All clinical social workers in Kansas