MRS. MARISA YOUNGBLOOD MSW
NPI 1649534264
Social Worker - Clinical in Southfield, MI

Active since June 28, 2012
24445 NORHTWESTERN HIGHWAY 100, SOUTHFIELD, MI 48075(248) 483-7804(248) 483-7868 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Marisa Youngblood Msw NPPES

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

MRS. MARISA YOUNGBLOOD MSW (NPI 1649534264) is an individual clinical provider in Southfield, Michigan, licensed in Michigan (6801021332) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1649534264
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MARISA YOUNGBLOODCredential: MSW
Location Address24445 NORHTWESTERN HIGHWAY 100Southfield, MI 48075
Mailing Address24445 Norhtwestern Highway Ste 100Southfield, MI 48075 · (248) 483-7804 · Fax (248) 483-7868
Fax(248) 483-7868
Sole ProprietorYes
Enumeration DateJune 28, 2012
NPI 1649534264 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 · 6801021332
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.
24445 NORHTWESTERN HIGHWAY 100, Southfield, MI 48075

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 Marisa Youngblood's NPI number?

The NPI number for Marisa Youngblood is 1649534264. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Where is Marisa Youngblood located?

Marisa Youngblood practices at 24445 Norhtwestern Highway 100, Southfield, MI 48075. The listed phone number is (248) 483-7804.

What is Marisa Youngblood's specialty?

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

When was this NPI record last updated?

The NPPES record for Marisa Youngblood was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.