Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY BLAKE, LCSW
Active Sole ProprietorClinical Social Worker · PORTLAND, ME
Registration Details
- NPI Number
- 1003827239
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2006 (19.722546325285 yrs)
- Last Updated
- Mar 11, 2013
- License
-
LC9874 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22 MONUMENT SQUARE#403PORTLAND, ME, 041013914Browse ME providers · Browse ZIP 04101
- Phone
- 2077499075
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| MS. LESLIE ABRONS | LCSW | 1295726180 |
| MR. CHARLES VANAMEE | LCSW | 1164413068 |
| MR. KEN E RAFFEL | LCSW | 1952392847 |
| MS. CLAIRE OPPENHEIM | LCSW | 1538150438 |
| ELLEN GURNEY | LCSW | 1033196340 |
| MS. KRISTIN M SHULMAN | LCSW | 1902875750 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.