REBECCA BLAKE (NPI# 1033549431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033549431 |
| Entity Type | Individual |
| Full Name | REBECCA BLAKE |
| Credential | LCSW-C |
| Practice Address |
2225 N Charles St Baltimore MD 21218-5778 |
| Mailing Address |
1111 Light St Apt. 512 Baltimore MD 21230-4297 |
| Practice Telephone | 4103664360 |
| Mailing Telephone | 4432801263 |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
16096 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | STATE LICENSE | 16096 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407292915 | Rebecca Thomson Blake | Social Worker | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2013-05-13 |
| 1902180326 | Rebecca L Blake | Physician Assistant | 258 Hoosick St, Troy, NY 12180-2444 | 2011-10-04 |
| 1205098134 | Rebecca S Blake I | Counselor | 408 S 17th St, Clinton, OK 73601-4236 | 2008-07-01 |
| Street Address |
2225 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295841658 | Gwendolyn O Johnson | Social Worker | 2225 N Charles St, Baltimore, MD 21218 | 2006-08-21 |
| 1588202220 | Mosaic Community Services, Inc | Clinic/Center | 2225 N Charles St, Baltimore, MD 21218-5778 | 2019-12-12 |
| 1376109975 | Santana Marie Daugherty | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2019-05-20 |
| 1588147904 | Iris Th Heath | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2018-09-11 |
| 1336626928 | Monica Dominguez | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2018-07-26 |
| 1487141784 | Julia May | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2018-04-23 |
| 1427587153 | Martin Zayon | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2017-06-06 |
| 1073042057 | Lawrence Rakhmanov | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2017-06-05 |
| 1750734687 | Stephanie P Tobar | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2016-07-15 |
| 1821448101 | Ashley Michelle Wall | Social Worker | 2225 N Charles St, Baltimore, MD 21218 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467069 | Pivot Inc. | Social Worker | 1725 E Baltimore St, Baltimore, MD 21231-1508 | 2020-11-02 |
| 1265033716 | Estell Wellness, LLC | Social Worker | 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 | 2020-11-02 |
| 1821698853 | Britney Buckson | Social Worker | 3710 Mary Ave, Baltimore, MD 21206-2416 | 2020-10-28 |
| 1467052746 | Allison Clayton | Social Worker | 1206 Union Ave, Baltimore, MD 21211-1901 | 2020-10-27 |
| 1134727506 | Maria Eleanor Nissley Ray | Social Worker | 906 Wilmington Ave, Baltimore, MD 21223-3224 | 2020-10-16 |
| 1144828161 | Melissa Vanderwolf Weldon | Social Worker | 3974 Edgehill Ave Apt C7, Baltimore, MD 21211-1721 | 2020-10-12 |
| 1467059691 | Artricia Cheri Love | Social Worker | 4010 W Belvedere Ave # 102, Baltimore, MD 21215-5502 | 2020-10-01 |
| 1710592183 | Stacy Tron | Social Worker | 2804 Laurelwood Ct, Baltimore, MD 21209-1414 | 2020-09-12 |
| 1326653742 | M S Brown Counseling Services LLC | Social Worker | 6801 Belair Rd Ste B, Baltimore, MD 21206-1121 | 2020-09-11 |
| 1700491438 | Chaey Skinner | Social Worker | 4312 Kolb Ave, Baltimore, MD 21206-2021 | 2020-09-10 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.