Individual provider · Type 1 NPI

Nicole E. Blake, LCSW, LADC

Clinical Social Worker · Westbrook, ME

NPI number 1962022350 Active

Practice location

40 Brackett St Apt 3
Westbrook, ME 04092-3383

Call (603) 860-4900 Map

Other practice locations

  • 35 Newport Rd, New London, NH 03257-5413 · (603) 865-1321
  • 1577 Congress St Ste 2, Portland, ME 04102-2169 · (207) 662-5093

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLC7566 (ME)
Clinical Social Worker 1041C0700X2905 (NH)
Clinical Social Worker Primary 1041C0700XLC21397 (ME)

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 1962022350

Nicole E. Blake, LCSW, LADC's National Provider Identifier is 1962022350, issued on Apr 25, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Westbrook, ME. The record was last updated on Oct 30, 2023.