Individual provider · Type 1 NPI

Amanda Marie Blake, LICSW, MSSW

Clinical Social Worker · Grand Forks, ND

NPI number 1174773469 Active

Practice location

2808 17th Ave S
Grand Forks, ND 58201-4010

Call (701) 738-8363 Map

Other practice locations

  • 412 Demers Ave, Grand Forks, ND 58201-4508 · (701) 787-7728

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X4753 (ND)
Social Worker 104100000X50864 (TX)
Clinical Social Worker Primary 1041C0700X4753 (ND)

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 1174773469

Amanda Marie Blake, LICSW, MSSW's National Provider Identifier is 1174773469, issued on Sep 24, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Forks, ND. The record was last updated on Oct 31, 2022.