CHERYL BLACKMON LCASA NPI 1164662045

NPI Information

  • NPI: 1164662045
  • Provider Name: CHERYL BLACKMON, LCASA
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 690 LAVA TRL
    FAYETTEVILLE, NC
    ZIP 28311
  • Phone: (910) 286-5826

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NPI Details

Cheryl Blackmon, LCASA is an addiction (substance use disorder) counselor in Fayetteville, NC. Cheryl Blackmon, LCASA NPI is 1164662045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

690 LAVA TRL
FAYETTEVILLE, NC
ZIP 28311-920
Phone: (910) 286-5826

The enumeration date for this NPI number is 3/4/2009 and was last updated on 1/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalP004629NORTH CAROLINANo
2101YA0400XCounselorAddiction (Substance Use Disorder)2464ANORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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