Individual provider · Type 1 NPI

Blake McCullough, LMSW

Clinical Social Worker · East Lansing, MI

NPI number 1679073092 Active

Practice location

2900 Hannah Blvd Ste 104
East Lansing, MI 48823-5380

Call (517) 253-6320 Map

Other practice locations

5303 S Cedar St Ste 2, Lansing, MI 48911-3800 · (517) 346-8000
4123 Okemos Rd Ste 15, Okemos, MI 48864-2818 · (517) 243-9738

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	6801104012 (MI)
Social Worker	104100000X	6801100146 (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…

3 other providers at this address

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About NPI 1679073092

Blake McCullough, LMSW's National Provider Identifier is 1679073092, issued on Feb 13, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Lansing, MI. The record was last updated on Aug 8, 2023.