Individual provider · Type 1 NPI

Anthonette Blake

Clinical Social Worker · Ashtabula, OH

NPI number 1891200432 Active

Practice location

2801 C Ct
Ashtabula, OH 44004-4577

Fax (440) 228-2414

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XI.2305042 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone 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 1891200432

Anthonette Blake's National Provider Identifier is 1891200432, issued on Dec 5, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ashtabula, OH. The record was last updated on Jan 3, 2024.