AUSTIN LEE BLUE LSW
NPI 1679369904
Social Worker in South Bend, IN

Active since April 15, 2025
611 LINCOLN WAY E, SOUTH BEND, IN 46601(574) 360-4066(866) 843-2486 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Austin Lee Blue Lsw NPPES

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

AUSTIN LEE BLUE LSW (NPI 1679369904) is an individual social worker in South Bend, Indiana, licensed in Indiana (33012493A) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1679369904
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameAUSTIN LEE BLUECredential: LSW
Location Address611 LINCOLN WAY ESouth Bend, IN 46601-3212
Mailing Address611 Lincoln Way ESouth Bend, IN 46601-3212 · (574) 360-4066 · Fax (866) 843-2486
Fax(866) 843-2486
Sole ProprietorNo
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
NPI 1679369904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in IN · 33012493A
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

611 LINCOLN WAY E, South Bend, IN 46601

Other Providers at the Same Location NPPES 19

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

Psychologist (Cognitive & Behavioral)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601
Social Worker (Clinical)
611 LINCOLN WAY E
SOUTH BEND, IN 46601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679369904, enumerated as an "individual" on April 15, 2025.

The provider is located at 611 LINCOLN WAY E SOUTH BEND, IN 46601 and the phone number is (574) 360-4066.

Social Worker with taxonomy code 104100000X.