Individual provider · Type 1 NPI
Jeanine Marie-Byrne Blake, LCSW-C
Clinical Social Worker · Baltimore, MD
Practice location
6802 Mcclean Blvd
Baltimore, MD 21234-7260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 12737 (MD) |
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…
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About NPI 1063854958
Jeanine Marie-Byrne Blake, LCSW-C's National Provider Identifier is 1063854958, issued on Jul 22, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Jul 22, 2013.