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

Individual provider Clinical Social Worker · NPI 1639499437

Kristin R Blackburn, MSW, LMSW is a Clinical Social Worker in Ann Arbor, Michigan. Qualified in 1993, 33 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
33
Licensed in
MI
In the registry since
2010
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

1945 Pauline Blvd Ste 10
Ann Arbor, MI 48103-5047
Phone: (734) 994-1531
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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 6801067835 (MI)

Record details

NPI number1639499437
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LMSW
Sole proprietorYes
NPI enumeratedJune 3, 2010
Last updated in NPPESJune 3, 2010

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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