Active NPIIndividual providerSole proprietor

Gwendolyn Blake, MA, EDS, LPC

Counselor, Mental Health in Clinton, New Jersey

NPI Number1356868236
Practice location
65 Old Rt. 22, Suite 7B, Clinton, NJ 08809
Fax
—
Last updated
August 23, 2017

Gwendolyn Blake is a Counselor, Mental Health based in Clinton, NJ. Gwendolyn Blake practices in Clinton, NJ and has the professional credentials of MA, EDS, LPC. The NPI Number for Gwendolyn Blake is 1356868236 and holds a License No. 37PC00540100 (NJ). The current practice location address for Gwendolyn Blake is 65 Old Rt. 22, Suite 7B, Clinton, NJ 08809 and can be reached out via phone at 908-386-2897.

Provider Profile Details

NPI Number
1356868236
Provider Name
Gwendolyn Blake
Credential
MA, EDS, LPC
Provider Entity Type
Individual
Gender
Female
Address
65 Old Rt. 22, Suite 7B, Clinton, NJ 08809
Phone Number
908-386-2897
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 23, 2017
Last Update Date
August 23, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Old Rt. 22
Suite 7B
Clinton, NJ 08809
Zip
08809
Phone Number
908-386-2897
Clinton, NJ 08809Get directions →

Provider Business Mailing Address Details

Address
285 Hillcrest Dr
Milford, NJ 08848-1003
City
Milford
State
NJ
Zip
08848-1003
Phone Number
908-892-0005

License Information

License Number
37PC00540100
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Gwendolyn Blake, MA, EDS, LPC?

The NPI number of Gwendolyn Blake, MA, EDS, LPC is 1356868236. It was assigned on August 23, 2017 and is currently active in the NPPES registry.

What is the specialty of Gwendolyn Blake, MA, EDS, LPC?

Gwendolyn Blake, MA, EDS, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC00540100.

Where does Gwendolyn Blake, MA, EDS, LPC practice?

The practice location is 65 Old Rt. 22, Suite 7B, Clinton, NJ 08809. The office can be reached at 908-386-2897 (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 1356868236 directly on the NPPES registry website.

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