Michelle Blair, LCSW, LISAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-19404 Issued in AZ

Practice address

5427 E. Madera St.
Tucson, AZ 85707

Phone

(520) 228-4926

NPI assigned

Aug 5, 2015

Last updated

Sep 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1972989556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5427 E. MADERA ST.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85707",
            "telephone_number": "520-228-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5427 E. MADERA ST.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85707",
            "telephone_number": "520-228-4926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13395 N Marana Main St",
            "address_purpose": "LOCATION",
            "city": "Marana",
            "state": "AZ",
            "postal_code": "856537008",
            "country_code": "US",
            "telephone_number": "520-682-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6050 N Corona Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857041096",
            "country_code": "US",
            "telephone_number": "520-469-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300B Main St",
            "address_purpose": "LOCATION",
            "city": "Stevensville",
            "state": "MT",
            "postal_code": "598702539",
            "country_code": "US",
            "telephone_number": "406-369-5994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "MICHELLE",
        "credential": "LCSW, LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-15140",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-18034",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-19404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "JVL",
            "affiliation": "N",
            "endpointDescription": "JVL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "JVL",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "JVL",
            "address_1": "5427 E. Madera St.",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Blacupuncturist, S.a.
• Cody Blagg
• Amanda Mary Blair, MS, BCBA
• Kacie Blair
• Lacey Marie Blair
• Rosalee Valdivia Blair, PHARMD
• Charles Blake, M.D.
• Christina Blake, FNP, IBCLC
• Donna H Blake, PSYCHOTHERAPIST
• Johannah Blake, PMHNP-BC

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.