Individual provider · Type 1 NPI
Jeffrey Blake, LCSW
Clinical Social Worker · Portland, ME
Practice location
22 Monument Square, #403
Portland, ME 04101-3914
Mailing address
22 Monument Sq, #403
Portland, ME 04101-4082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LC9874 (ME) |
Clinical Social Worker: 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 interpers…
Another provider at this address
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About NPI 1003827239
Jeffrey Blake, LCSW's National Provider Identifier is 1003827239, issued on Aug 11, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on Mar 11, 2013.