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

Michelle Shellane Blumenzweig, LICSW

Individual provider Mental Health Counselor · NPI 1063658060

Michelle Shellane Blumenzweig, LICSW is a Clinical Social Worker in Bellevue, Washington. Qualified in 2001, 25 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
25
Licensed in
WA
In the registry since
2008
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2820 Northup Way Ste 105
Bellevue, WA 98004-1438
Phone: (425) 864-5304
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LWOOOO8651 (WA)

Record details

NPI number1063658060
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedDecember 21, 2008
Last updated in NPPESFebruary 13, 2014
Mailing addressPo Box 439, East Olympia, WA 98540-0439

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bellevue