Mrs. Laura B Blake, LICSW
Social Worker, Clinical in Bedford, Massachusetts
1689804197- Practice location
- 200 Springs RD, Bedford, MA 01730-1198
- Phone
- 781-687-2612
- Fax
- —
- Last updated
- May 31, 2022
Laura Benson Blake is a Social Worker, Clinical based in Bedford, MA. Laura Benson Blake practices in Bedford, MA and has the professional credentials of LICSW. The NPI Number for Laura Benson Blake is 1689804197 and holds a License No. 114534 (MA). The current practice location address for Laura Benson Blake is 200 Springs RD, Bedford, MA 01730-1198 and can be reached out via phone at 781-687-2612.
Provider Profile Details
- NPI Number
- 1689804197
- Provider Name
- Laura Benson Blake
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 Springs RD, Bedford, MA 01730-1198
- Phone Number
- 781-687-2612
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 17, 2009
- Last Update Date
- May 31, 2022
- Certification Date
- May 31, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Springs RD
Bedford, MA 01730-1198 - City
- Bedford
- State
- Massachusetts
- Zip
- 01730-1198
- Phone Number
- 781-687-2612
Provider Business Mailing Address Details
- Address
- 60 Hurd St
Fitchburg, MA 01420-4920 - City
- Fitchburg
- State
- MA
- Zip
- 01420-4920
- Phone Number
- 978-235-4936
License Information
- License Number (1)
- 114534
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X · Primary
- License Number (2)
- 13632
- License State (2)
- MD
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
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 Bedford, MA
View all Social Worker, Clinical providers in Bedford →Frequently Asked Questions
What is the NPI number of Mrs. Laura B Blake, LICSW?
The NPI number of Mrs. Laura B Blake, LICSW is 1689804197. It was assigned on July 17, 2009 and is currently active in the NPPES registry.
What is the specialty of Mrs. Laura B Blake, LICSW?
Mrs. Laura B Blake, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114534.
Where does Mrs. Laura B Blake, LICSW practice?
The practice location is 200 Springs RD, Bedford, MA 01730-1198. The office can be reached at 781-687-2612 (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 1689804197 directly on the NPPES registry website.