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Ellie Blackburn

NPI 1861254518 · on the registry since 2024

Practice

Address: 678 Front Ave Nw
Grand Rapids, MI 49504
Phone: (616) 916-3711
Organisation at this address: Alternative Medical Supplies Llc
Great Lakes Behavioral Health Plc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan