Individual provider · Type 1 NPI

Blake Macko, MSS

Clinical Social Worker · Philadelphia, PA

NPI number 1073408183 Active

Practice location

123 Chestnut St Ste 304
Philadelphia, PA 19106-3059

Call (215) 399-4128 Map

Mailing address

4112 Grace Virginia Ct
Allentown, PA 18104-5503

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1073408183

Blake Macko, MSS's National Provider Identifier is 1073408183, issued on Jun 10, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 10, 2025.