- Practice location
- 40 Brackett St Apt 3, Westbrook, ME 04092-3383
- Phone
- 603-860-4900
- Fax
- —
- Last updated
- October 30, 2023
Nicole E Blake is a Social Worker, Clinical based in Westbrook, ME. Nicole E Blake practices in Westbrook, ME and has the professional credentials of LCSW, LADC. The NPI Number for Nicole E Blake is 1962022350 and holds a License No. LC7566 (ME). The current practice location address for Nicole E Blake is 40 Brackett St Apt 3, Westbrook, ME 04092-3383 and can be reached out via phone at 603-860-4900.
Provider Profile Details
- NPI Number
- 1962022350
- Provider Name
- Nicole E Blake
- Credential
- LCSW, LADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 40 Brackett St Apt 3, Westbrook, ME 04092-3383
- Phone Number
- 603-860-4900
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Other Names
- Nicole Jewell (Former Name)
- Provider Enumeration Date
- April 25, 2020
- Last Update Date
- October 30, 2023
- Certification Date
- October 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Brackett St Apt 3
Westbrook, ME 04092-3383 - City
- Westbrook
- State
- Maine
- Zip
- 04092-3383
- Phone Number
- 603-860-4900
Provider Business Mailing Address Details
- Address
- 40 Brackett St Apt 3
Westbrook, ME 04092-3383 - City
- Westbrook
- State
- ME
- Zip
- 04092-3383
- Phone Number
- 603-860-4900
License Information
- License Number (1)
- LC7566
- License State (1)
- ME
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 2905
- License State (2)
- NH
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- LC21397
- License State (3)
- ME
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Mrs. Kristen K Bennett, LMSWCCSocial Worker, Clinical · NPI 1770883399
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Frequently Asked Questions
What is the NPI number of Nicole E Blake, LCSW, LADC?
The NPI number of Nicole E Blake, LCSW, LADC is 1962022350. It was assigned on April 25, 2020 and is currently active in the NPPES registry.
What is the specialty of Nicole E Blake, LCSW, LADC?
Nicole E Blake, LCSW, LADC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC7566.
Where does Nicole E Blake, LCSW, LADC practice?
The practice location is 40 Brackett St Apt 3, Westbrook, ME 04092-3383. The office can be reached at 603-860-4900 (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 1962022350 directly on the NPPES registry website.