ELLIE A BLACKBURN
NPI 1861254518
Social Worker - Clinical in Grand Rapids, MI

Active since January 29, 2024
678 FRONT AVE NW, GRAND RAPIDS, MI 49504(616) 916-3711 Get Directions Write a Review

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

About Ellie A Blackburn NPPES

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

ELLIE A BLACKBURN (NPI 1861254518) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6851121335) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1861254518
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLIE A BLACKBURN
Location Address678 FRONT AVE NWGrand Rapids, MI 49504-5325
Mailing Address130 Brookmeadow North Ct Sw Apt 8Grandville, MI 49418-3247
Sole ProprietorNo
Enumeration DateJanuary 29, 2024
Last NPPES UpdateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
NPI 1861254518 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 · 6851121335
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.

678 FRONT AVE NW, Grand Rapids, MI 49504

Other Providers at the Same Location NPPES 8

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

Psychologist (Counseling)
678 FRONT AVE NW, SUITE 265
GRAND RAPIDS, MI 49504
Social Worker (Clinical)
678 FRONT AVE NW
GRAND RAPIDS, MI 49504
Psychiatry & Neurology (Psychiatry)
678 FRONT AVE NW, SUITE 365
GRAND RAPIDS, MI 49504
Counselor (Professional)
678 FRONT AVE NW
GRAND RAPIDS, MI 49504
Psychiatry & Neurology (Psychiatry)
678 FRONT AVE NW, SUITE 365
GRAND RAPIDS, MI 49504
Counselor (Mental Health)
678 FRONT AVE NW
GRAND RAPIDS, MI 49504
Durable Medical Equipment & Medical Supplies
678 FRONT AVE NW, SUITE 135
GRAND RAPIDS, MI 49504
Counselor (Mental Health)
678 FRONT AVE NW
GRAND RAPIDS, MI 49504

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 Ellie Blackburn's NPI number?

The NPI number for Ellie Blackburn is 1861254518. It was assigned to this individual provider in the NPPES registry on January 29, 2024.

Where is Ellie Blackburn located?

Ellie Blackburn practices at 678 Front Ave NW, Grand Rapids, MI 49504. The listed phone number is (616) 916-3711.

What is Ellie Blackburn'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 Ellie Blackburn was last updated on February 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.