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KRISTIN R BLACKBURN MSW, LMSW
NPI 1639499437
Social Worker - Clinical in Ann Arbor, MI

Active since June 03, 2010PECOS Enrolled
1945 PAULINE BLVD, STE. 10, ANN ARBOR, MI 48103(734) 994-1531 Get Directions Write a Review

NPPES record last updated: June 3, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristin R Blackburn Msw, Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIN R BLACKBURN MSW, LMSW (NPI 1639499437) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6801067835) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1639499437
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTIN R BLACKBURNCredential: MSW, LMSW
Location Address1945 PAULINE BLVD, STE. 10Ann Arbor, MI 48103-5047
Mailing Address1945 Pauline Blvd, Ste. 10Ann Arbor, MI 48103-5047 · (734) 994-1531
Phone(734) 994-1531
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJune 3, 2010
✔ NPI 1639499437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801067835
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1945 PAULINE BLVD, Ann Arbor, MI 48103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin R Blackburn Msw, Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002394525
PECOS Enrollment IDI20260127003622
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA GEMMILL PASBJERG LMSW
Social Worker (Clinical)
1945 PAULINE BLVD, SUITE 10
ANN ARBOR, MI 48103
Washtenaw County (734) 663-0420
MS. CAROL JANE DEERING LMSW
Social Worker (Clinical)
1945 PAULINE BLVD, SUITE 10
ANN ARBOR, MI 48103
Washtenaw County (734) 730-4184
ANN SHIELDS PHD PLLC
Psychologist (Clinical)
1945 PAULINE BLVD, SUITE 13A
ANN ARBOR, MI 48103
Washtenaw County (734) 622-0661
DR. GWENDOLYN FISHER HOUSE PH.D.
Psychologist (Clinical)
1945 PAULINE BLVD, SUITE 21-C
ANN ARBOR, MI 48103
Washtenaw County (734) 213-1333
MS. MARY STEVENS L.M.S.W.
Social Worker (Clinical)
1945 PAULINE BLVD, STE 15A
ANN ARBOR, MI 48103
Washtenaw County (734) 794-9989
DR. SHAUNA TINDALL PHD
Psychologist (Clinical)
1945 PAULINE BLVD, STE 13A
ANN ARBOR, MI 48103
Washtenaw County (734) 223-4148
KAREN C. MIKUS, PHD, PC
Psychologist
1945 PAULINE BLVD, SUITE 21-B
ANN ARBOR, MI 48103
Washtenaw County (734) 761-7247
GARY G SMITH, LMSW, LLC
Social Worker (Clinical)
1945 PAULINE BLVD, SUITE 14
ANN ARBOR, MI 48103
Washtenaw County (734) 646-3581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Blackburn's NPI number?

The NPI number for Kristin Blackburn is 1639499437. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Kristin Blackburn located?

Kristin Blackburn practices at 1945 Pauline Blvd Ste. 10, Ann Arbor, MI 48103. The listed phone number is (734) 994-1531.

What is Kristin Blackburn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristin Blackburn enrolled in Medicare?

Yes. Kristin Blackburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristin Blackburn was last updated on June 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.