- Practice location
- 22 Monument Square, #403, Portland, ME 04101-3914
- Phone
- 207-749-9075
- Fax
- —
- Last updated
- March 11, 2013
Jeffrey Blake is a Social Worker, Clinical based in Portland, ME. Jeffrey Blake practices in Portland, ME and has the professional credentials of LCSW. The NPI Number for Jeffrey Blake is 1003827239 and holds a License No. LC9874 (ME). The current practice location address for Jeffrey Blake is 22 Monument Square, #403, Portland, ME 04101-3914 and can be reached out via phone at 207-749-9075.
Provider Profile Details
- NPI Number
- 1003827239
- Provider Name
- Jeffrey Blake
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 22 Monument Square, #403, Portland, ME 04101-3914
- Phone Number
- 207-749-9075
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 11, 2006
- Last Update Date
- March 11, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Monument Square
#403
Portland, ME 04101-3914 - City
- Portland
- State
- Maine
- Zip
- 04101-3914
- Phone Number
- 207-749-9075
Provider Business Mailing Address Details
- Address
- 22 Monument Sq
#403
Portland, ME 04101-4082 - City
- Portland
- State
- ME
- Zip
- 04101-4082
- Phone Number
- 207-749-9075
License Information
- License Number
- LC9874
- License State
- ME
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Portland, ME
View all Social Worker, Clinical providers in Portland →- Alex Bellows, LCSWSocial Worker, Clinical · NPI 1982285037
- Alice Podolsky, LCSW, LLCSocial Worker, Clinical · NPI 1174428593
- Amanda Atkinson-Lewis, LCSWSocial Worker, Clinical · NPI 1750579645
- And Breathe,llcSocial Worker, Clinical · NPI 1275892689
- Andrew Berglund, LCSW, LLCSocial Worker, Clinical · NPI 1659686988
- Annie Hamilton PsychotherapySocial Worker, Clinical · NPI 1225817968
Frequently Asked Questions
What is the NPI number of Jeffrey Blake, LCSW?
The NPI number of Jeffrey Blake, LCSW is 1003827239. It was assigned on August 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Jeffrey Blake, LCSW?
Jeffrey Blake, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC9874.
Where does Jeffrey Blake, LCSW practice?
The practice location is 22 Monument Square, #403, Portland, ME 04101-3914. The office can be reached at 207-749-9075 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003827239 directly on the NPPES registry website.