Active NPIIndividual providerSole proprietor

Catharine A Blake, LICSW

Social Worker, Clinical in Andover, Massachusetts

NPI Number1306923297
Practice location
63 Park St, Andover, MA 01810-3662
Fax
978-551-8474
Last updated
July 8, 2007

Catharine A. Blake is a Social Worker, Clinical based in Andover, MA. Catharine A. Blake practices in Andover, MA and has the professional credentials of LICSW. The NPI Number for Catharine A. Blake is 1306923297 and holds a License No. 113813 (MA). The current practice location address for Catharine A. Blake is 63 Park St, Andover, MA 01810-3662 and can be reached out via phone at 978-551-8475 and via fax at 978-551-8474.

Provider Profile Details

NPI Number
1306923297
Provider Name
Catharine A. Blake
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
63 Park St, Andover, MA 01810-3662
Phone Number
978-551-8475
Fax Number
978-551-8474
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Park St
Andover, MA 01810-3662
Zip
01810-3662
Phone Number
978-551-8475
Fax Number
978-551-8474
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
63 Park St
Andover, MA 01810-3662
City
Andover
State
MA
Zip
01810-3662
Phone Number
978-551-8475
Fax Number
978-551-8474

License Information

License Number
113813
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Catharine A Blake, LICSW?

The NPI number of Catharine A Blake, LICSW is 1306923297. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Catharine A Blake, LICSW?

Catharine A Blake, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113813.

Where does Catharine A Blake, LICSW practice?

The practice location is 63 Park St, Andover, MA 01810-3662. The office can be reached at 978-551-8475 (phone) or 978-551-8474 (fax).

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 1306923297 directly on the NPPES registry website.

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