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

Michael James Fillmore, LLMSW

Individual provider Clinical Social Worker · NPI 1033819610

Michael James Fillmore, LLMSW is a Clinical Social Worker in Niles, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

210 E Main St
Niles, MI 49120-2376
Phone: (269) 340-2770
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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 6851122116 (MI)

Record details

NPI number1033819610
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedMarch 3, 2023
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address210 E Main St, Niles, MI 49120-2376

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