Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MARIE BLAKE, LICSW, MSSW
ActiveAMANDA MARIE BLAKE, LICSW, MSSW is a Clinical Social Worker healthcare provider located in GRAND FORKS, North Dakota. NPI 1174773469 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · GRAND FORKS, ND
Registration Details
- NPI Number
- 1174773469
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 24, 2008 (17.865085881588 yrs)
- Last Updated
- Oct 31, 2022
- Licenses
-
4753 (ND)50864 (TX)4753 (ND)
Practice Information
- Address
-
2808 17TH AVE SGRAND FORKS, ND, 582014010Browse ND providers · Browse ZIP 58201
- Phone
- 7017388363
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in GRAND FORKS, ND
| Name | Credential | NPI |
|---|---|---|
| MS. MALAYSIA HELENE GRESHAM | LICSW | 1942271747 |
| MS. BONNIE PETERSON | LICSW | 1538124532 |
| MRS. LISA WARNER | LICSW | 1306802228 |
| MR. DAVID BIALIK | LICSW | 1427014752 |
| MS. KIMBER-LEE OSOWSKI | LICSW | 1982660908 |
| MR. CHRISTOPHER JOHN WERKLEY | MSW, LICSW, BCD | 1447299417 |
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.