Individual provider · Type 1 NPI

Lora Lynn Blake, LMSW

Clinical Social Worker · Macomb, MI

NPI number 1992685945 Active

Practice location

50578 Nesting Ridge Dr
Macomb, MI 48044-1383

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801104538 (MI)

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 1992685945

Lora Lynn Blake, LMSW's National Provider Identifier is 1992685945, issued on Sep 2, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Macomb, MI. The record was last updated on Sep 2, 2025.