Individual provider · Type 1 NPI

Susan Diane Blackburn, LMSW

Clinical Social Worker · North Muskegon, MI

NPI number 1649512484 Active

Practice location

2006 Holton Rd
North Muskegon, MI 49445-1505

Mailing address

PO Box 776974
Chicago, IL 60677-6974

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801079604 (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 1649512484

Susan Diane Blackburn, LMSW's National Provider Identifier is 1649512484, issued on Mar 19, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Muskegon, MI. The record was last updated on Aug 19, 2022.