Ellie A Blackburn
Ellie A Blackburn is a Clinical Social Worker in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2024.
- Licensed in
- MI
- In the registry since
- 2024
Practice location Address checks out
678 Frnt Ave NWGrand Rapids, MI 49504-5325
Phone: (616) 916-3711
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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 · Licence 6851121335 (MI) |
|---|
Record details
| NPI number | 1861254518 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 29, 2024 |
| Last updated in NPPES | February 3, 2026 |
| Certification date | February 3, 2026 |
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