Individual provider · Type 1 NPI

Stephanie Blake

Clinical Social Worker · Midland, MI

NPI number 1376109272 Active

Practice location

1525 Ridgewood Dr
Midland, MI 48642-6425

Fax (989) 835-4920

Mailing address

2601 Isabella St
Midland, MI 48640-4194

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Clinical Social Worker Primary 1041C0700X6851109762 (MI)

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 1376109272

Stephanie Blake's National Provider Identifier is 1376109272, issued on May 15, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Midland, MI. The record was last updated on May 7, 2025.