Organization · Type 2 NPI

Dr. Lake and Associates

Clinical Social Worker · Brandon, FL

NPI number 1689528846 Active

Practice location

130 E Bloomingdale Ave
Brandon, FL 33511-8101

Mailing address

10863 Boyette Rd
Riverview, FL 33569-8012

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1689528846

Dr. Lake and Associates's National Provider Identifier is 1689528846, issued on Feb 24, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brandon, FL. The record was last updated on Feb 24, 2026.