Individual provider · Type 1 NPI
Blake O'Connor, MED
Clinical Social Worker · Boulder, CO
Practice location
1000 Alpine Ave
Boulder, CO 80304-3401
Mailing address
1029 N Pennsylvania St Apt 3W
Denver, CO 80203-3240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1487567350
Blake O'Connor, MED's National Provider Identifier is 1487567350, issued on Sep 23, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on Sep 23, 2026.