Active NPIIndividual provider

Virginia L Blake, LADC, CCS, LSW

Counselor, Addiction (Substance Use Disorder) in Calais, Maine

NPI Number1659638955
Practice location
127 Palmer St, Calais, ME 04619-1300
Fax
207-454-0232
Last updated
April 12, 2012

Virginia L. Blake is a Counselor, Addiction (Substance Use Disorder) based in Calais, ME. Virginia L. Blake practices in Calais, ME and has the professional credentials of LADC, CCS, LSW. The NPI Number for Virginia L. Blake is 1659638955 and holds a License No. LC3675 (ME). The current practice location address for Virginia L. Blake is 127 Palmer St, Calais, ME 04619-1300 and can be reached out via phone at 207-454-0270 and via fax at 207-454-0232.

Provider Profile Details

NPI Number
1659638955
Provider Name
Virginia L. Blake
Credential
LADC, CCS, LSW
Provider Entity Type
Individual
Gender
Female
Address
127 Palmer St, Calais, ME 04619-1300
Phone Number
207-454-0270
Fax Number
207-454-0232
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2012
Last Update Date
April 12, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
127 Palmer St
Calais, ME 04619-1300
City
Calais
State
Maine
Zip
04619-1300
Phone Number
207-454-0270
Fax Number
207-454-0232
Calais, ME 04619Get directions →

Provider Business Mailing Address Details

Address
127 Palmer St
Calais, ME 04619-1300
City
Calais
State
ME
Zip
04619-1300
Phone Number
207-454-0270
Fax Number
207-454-0232

License Information

License Number
LC3675
License State
ME
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Virginia L Blake, LADC, CCS, LSW?

The NPI number of Virginia L Blake, LADC, CCS, LSW is 1659638955. It was assigned on April 12, 2012 and is currently active in the NPPES registry.

What is the specialty of Virginia L Blake, LADC, CCS, LSW?

Virginia L Blake, LADC, CCS, LSW is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number LC3675.

Where does Virginia L Blake, LADC, CCS, LSW practice?

The practice location is 127 Palmer St, Calais, ME 04619-1300. The office can be reached at 207-454-0270 (phone) or 207-454-0232 (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 1659638955 directly on the NPPES registry website.

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