Individual provider · Type 1 NPI
Stephanie Blake
Clinical Social Worker · Midland, MI
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
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 6851109762 (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.