MS. STEPHANIE BLAIRE BOURNE LLMSW
NPI 1972224392
Social Worker - Clinical in Kalamazoo, MI

Active since September 05, 2022
6963 W KL AVE STE B, KALAMAZOO, MI 49009(269) 544-7720 Get Directions Write a Review

NPPES record last updated: September 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Stephanie Blaire Bourne Llmsw NPPES

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

MS. STEPHANIE BLAIRE BOURNE LLMSW (NPI 1972224392) is an individual clinical provider in Kalamazoo, Michigan, licensed in Michigan (6851115621) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1972224392
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. STEPHANIE BLAIRE BOURNECredential: LLMSW
Location Address6963 W KL AVE STE BKalamazoo, MI 49009-8043
Mailing Address1015 Vassar DrKalamazoo, MI 49001-4483 · (415) 312-9193
Sole ProprietorNo
Enumeration DateSeptember 5, 2022
NPPES CertifiedSeptember 5, 2022
NPI 1972224392 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 · 6851115621
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.

6963 W KL AVE STE B, Kalamazoo, MI 49009

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
6963 W KL AVE STE B
KALAMAZOO, MI 49009
Counselor (Mental Health)
6963 W KL AVE STE B
KALAMAZOO, MI 49009
Social Worker (Clinical)
6963 W KL AVE STE B
KALAMAZOO, MI 49009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972224392, enumerated as an "individual" on September 05, 2022.

The provider is located at 6963 W KL AVE STE B KALAMAZOO, MI 49009 and the phone number is (269) 544-7720.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.