Stephanie Blubaugh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1149 Issued in AK

Practice address

329 W Washington St Ste C
Marquette, MI 49855-4355

Phone

(906) 205-0304

NPI assigned

Jul 30, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 906 Counseling LLC

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1295376564
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1396976957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 W WASHINGTON ST STE C",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554355",
            "telephone_number": "906-205-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W WASHINGTON ST STE C",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554355",
            "telephone_number": "906-205-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUBAUGH",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1877",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Blashill, RN
• Kyle Edward Blau, DDS
• Jennifer Lynne Bleckiner, CCC/SLP-L
• Kendra Sundin Bloom, BCBA, LBA
• Robert Howells Blotter, MD
• Cassie Bluhm, DO
• Holly Ann Boburka, MS A.T.,C.
• Body Mechanix Physical Therapy of Marquette, LLC
• Ginger Kay Bohl, MD
• Bob Boivin, CADC

• Clinical Social Worker in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.