Individual provider Active NPI

Michelle Blue, MSW, LISW-S

  • Clinical Social Worker
  • Toledo, OH
National Provider Identifier
1952953937
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2102870 Issued in OH
Practice address
3335 Meijer Dr Ste 150
Toledo, OH 43617-3122
Phone
(419) 690-5086
Fax
(419) 671-8026
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X I.2102870 OH Primary
Social Worker 104100000X S.1802309 OH

Addresses

Primary practice location

3335 Meijer Dr Ste 150
Toledo, OH 43617-3122

Mailing address

3335 Meijer Dr Ste 150
Toledo, OH 43617-3122
Phone (419) 690-5086

Other practice location 1

3909 Woodley Rd
Toledo, OH 43606-1169
Phone (419) 729-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130000101 OH Practitioner - Clinical Social Worker 6103252705 Reassigns benefits to 1 organization
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1802309OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Social Worker CurrentSince Jun 13, 2022 Accepting new patients
Community Teaching Homes, Inc. PastSince Jun 5, 2017 Accepting new patients
Community Teaching Homes, Inc. Past Accepting new patients
Resource Genie, LLC Clinical PastSince Nov 17, 2019 Accepting new patients
Harbor Past Accepting new patients

Locations

1010 N Prospect St
Bowling Green, OH 43402
Phone (419) 352-5249

800 Commerce Dr
Perrysburg, OH 43551
Phone (419) 872-2418

3909 Woodley Rd
Toledo, OH 43606
Phone (419) 725-3330

7140 Port Sylvania Dr
Toledo, OH 43617
Phone (567) 408-7242

123 22nd St
Toledo, OH 43604
Phone (419) 241-6191

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1952953937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 MEIJER DR STE 150",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436173122",
            "telephone_number": "419-690-5086",
            "fax_number": "419-671-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 MEIJER DR STE 150",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436173122",
            "telephone_number": "419-690-5086",
            "fax_number": "419-671-8026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 Woodley Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436061169",
            "country_code": "US",
            "telephone_number": "419-729-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUE",
        "first_name": "MICHELLE",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102870",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1802309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.