Individual provider · Type 1 NPI

Michael Blue, LLMSW

Clinical Social Worker · Port Huron, MI

NPI number 1407565195 Active

Practice location

3111 Electric Ave
Port Huron, MI 48060-8127

Mailing address

4081 Gardendale Dr Apt 208
Fort Gratiot, MI 48059-3332

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X6851120323 (MI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1407565195

Michael Blue, LLMSW's National Provider Identifier is 1407565195, issued on Nov 21, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Huron, MI. The record was last updated on Jul 16, 2025.