Individual provider · Type 1 NPI

Blaine G. Burks, L.M.S.W., CAAC

Clinical Social Worker · Lima, OH

NPI number 1174632145 Active

Practice location

311 E Market St Ste 3
Lima, OH 45801-4535

Call (419) 222-4474 Map

Fax (419) 222-7044

Mailing address

19323 Ardmore St
Detroit, MI 48235-1704

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X6801064874 (MI)
Clinical Social Worker Primary 1041C0700XNone listed
Clinical Social Worker 1041C0700XI.2304497 (OH)

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 1174632145

Blaine G. Burks, L.M.S.W., CAAC's National Provider Identifier is 1174632145, issued on Aug 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lima, OH. The record was last updated on Feb 5, 2026.