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

Creighton Mason Blue Jr.

Individual provider Clinical Social Worker · NPI 1184188401

Creighton Mason Blue Jr. is a Clinical Social Worker in Los Angeles, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone: (310) 268-3396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1184188401
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 31, 2019
Last updated in NPPESJanuary 31, 2019

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