Active NPIIndividual providerSole proprietor

Kristin Blake-Rosenberg, LICSW

Social Worker, Clinical in Westwood, Massachusetts

NPI Number1801035571
Practice location
18 Blue Jay RD, Westwood, MA 02090-1161
Fax
—
Last updated
February 19, 2009

Kristin Blake-Rosenberg is a Social Worker, Clinical based in Westwood, MA. Kristin Blake-Rosenberg practices in Westwood, MA and has the professional credentials of LICSW. The NPI Number for Kristin Blake-Rosenberg is 1801035571 and holds a License No. 1028768 (MA). The current practice location address for Kristin Blake-Rosenberg is 18 Blue Jay RD, Westwood, MA 02090-1161 and can be reached out via phone at 781-329-6942.

Provider Profile Details

NPI Number
1801035571
Provider Name
Kristin Blake-Rosenberg
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
18 Blue Jay RD, Westwood, MA 02090-1161
Phone Number
781-329-6942
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 19, 2009
Last Update Date
February 19, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Blue Jay RD
Westwood, MA 02090-1161
Zip
02090-1161
Phone Number
781-329-6942
Westwood, MA 02090Get directions →

Provider Business Mailing Address Details

Address
73 Bourne St
Jamaica Plain, MA 02130-4622
City
Jamaica Plain
State
MA
Zip
02130-4622
Phone Number
781-329-6942

License Information

License Number (1)
1028768
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
R061121-1
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Kristin Blake-Rosenberg, LICSW?

The NPI number of Kristin Blake-Rosenberg, LICSW is 1801035571. It was assigned on February 19, 2009 and is currently active in the NPPES registry.

What is the specialty of Kristin Blake-Rosenberg, LICSW?

Kristin Blake-Rosenberg, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1028768.

Where does Kristin Blake-Rosenberg, LICSW practice?

The practice location is 18 Blue Jay RD, Westwood, MA 02090-1161. The office can be reached at 781-329-6942 (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 1801035571 directly on the NPPES registry website.

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