ELAINE TRAVERS BLAKE (NPI# 1033759006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033759006 |
| Entity Type | Individual |
| Full Name | ELAINE TRAVERS BLAKE |
| Credential | LCSW |
| Practice Address |
16 Highland Ave Somerville MA 02143-1933 |
| Practice Telephone | 6176235277 |
| Mailing Telephone | 6176235277 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
669 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194922724 | Elaine Kelley Blake | Massage Therapist | 1010 E Busch Blvd Ste 103, Tampa, FL 33612-8502 | 2007-06-28 |
| Street Address |
16 HIGHLAND AVE |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-1933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780018598 | Kyrre Dikken Culver | Counselor | 58 Liberty Ave # 1, Somerville, MA 02144-2022 | 2013-08-28 |
| 1972949675 | Meaghan E Decker | Counselor | 259 Elm St Ste 300b, Somerville, MA 02144-2950 | 2013-05-21 |
| 1083963276 | Mallory Sarno | Counselor | 15 Tennyson St, Somerville, MA 02145-3701 | 2012-09-03 |
| 1023302676 | Matthew S. Mullins | Counselor | 20 Barton St, Somerville, MA 02144-1508 | 2011-05-31 |
| 1891932885 | Jennifer White | Counselor | 391 Broadway Apt 303, Somerville, MA 02145-2310 | 2009-01-13 |
| 1801949862 | Brenda Pateman | Counselor | 17 W Cliff St, Somerville, NJ 08876-1901 | 2007-01-20 |
| 1891848917 | Michael Philip Chenkin | Counselor | 87 West End Ave., Somerville, NJ 08876-1828 | 2007-01-19 |
| 1205997228 | Marilyn Baron | Counselor | 73 West End Ave, Somerville, NJ 08876-1828 | 2006-12-13 |
| 1639259146 | Patrick S Griswold | Counselor | 260 Beacon St, Somerville, MA 02143-3534 | 2006-10-17 |
| 1225674005 | Amelia Napolitano | Counselor | 401 Highland Ave, Somerville, MA 02144-2516 | 2019-11-26 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
Please comment or provide details below to improve the information on ELAINE TRAVERS BLAKE.
| 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.