Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake McCullough, LMSW

Individual provider Clinical Social Worker · NPI 1679073092

Blake McCullough, LMSW is a Clinical Social Worker in East Lansing, Michigan. Qualified in 2016, 10 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

2900 Hannah Blvd Ste 104
East Lansing, MI 48823-5380
Phone: (517) 253-6320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 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 & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801104012 (MI)
Social Worker Taxonomy 104100000X · Licence 6801100146 (MI)

Record details

NPI number1679073092
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedFebruary 13, 2018
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Edward W Sparrow Hospital Association — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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