Chelsea Blackburn, LMSW
Social Worker, Clinical in Monroe, MI. Individual provider (NPI-1).
NPI number1063804656
StatusActive
Last updated in NPPESJul 9, 2026
Details
- NPI
- 1063804656
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Chelsea Blackburn
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2015
- Certification date
- Jul 9, 2026
- Last updated
- Jul 9, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801119416 | MI | Yes |
Practice location
1001 S Raisinville RdMonroe, MI 48161-9754
Phone 734-243-7340
Mailing address
1001 S Raisinville RdMonroe, MI 48161-9754
Phone 734-243-7340
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 136 Clinical Social Worker providers in Monroe · All 1,757 providers in Monroe
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