Individual provider · Type 1 NPI

Laura Benson Blake, LICSW

Clinical Social Worker · Bedford, MA

NPI number 1689804197 Active

Practice location

200 Springs Rd
Bedford, MA 01730-1198

Call (781) 687-2612 Map

Mailing address

60 Hurd St
Fitchburg, MA 01420-4920

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X114534 (MA)
Clinical Social Worker 1041C0700X13632 (MD)

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 1689804197

Laura Benson Blake, LICSW's National Provider Identifier is 1689804197, issued on Jul 17, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bedford, MA. The record was last updated on May 31, 2022.