DAWN BLAKE (NPI# 1376166934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376166934 |
| Entity Type | Individual |
| Full Name | DAWN BLAKE |
| Credential | LMSW |
| Practice Address |
124 Canal St Lewiston ME 04240-7711 |
| Mailing Address |
501 Forest Ave Portland ME 04101-1503 |
| Practice Telephone | 2075365999 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MC18355 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790244333 | Dawn Lytisha Blake | Community/Behavioral Health | 3801 E Charleston Blvd Apt 214, Las Vegas, NV 89104-2319 | 2019-03-13 |
| 1891015236 | Dawn K Blake | Occupational Therapist | 244 Papa Pl, Suite 102, Kahului, HI 96732-2988 | 2010-06-08 |
| 1437371077 | Dawn M Blake | Home Health Aide | 100 1/2 Old Rainer Road, Roseville, OH 43777 | 2007-05-03 |
| 1487173829 | Dawn Swaim Blake | Pharmacist | 2780 John Hawkins Pkwy, Hoover, AL 35244-4001 | 2017-09-18 |
| 1801172416 | Dawn Elaine Blake | Pharmacist | 9301 Highway 119, Alabaster, AL 35007-5366 | 2011-10-26 |
| Street Address |
124 CANAL ST |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235299496 | Support Solutions Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 124 Canal St, Suite B, Lewiston, ME 04240-7711 | 2006-12-11 |
| 1841789831 | Steven Patrick Doyle | Social Worker | 124 Canal St, Lewiston, ME 04240-7711 | 2018-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| 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 |
|---|---|---|---|---|
| 1215550108 | Jasmine Dawn Hussey | Social Worker | 17 Cram Ave Apt 3, Lewiston, ME 04240-3750 | 2020-05-26 |
| 1124650106 | Summer Overberg | Social Worker | 908 Idaho St, Lewiston, ID 83501-1937 | 2020-02-07 |
| 1922665173 | Shana Wallace | Social Worker | 150 South Ave # 2, Lewiston, ME 04240-5759 | 2019-05-23 |
| 1407336746 | Kelsey Wilcox | Social Worker | 37 Park St Ste 203, Lewiston, ME 04240-7195 | 2018-08-16 |
| 1003301680 | Serenity Treatment LLC | Social Worker | 1229 Main St Ste 101, Lewiston, ID 83501-6901 | 2018-06-26 |
| 1053830299 | Rebecca Baker | Social Worker | 37 Park St Ste 201, Lewiston, ME 04240-7196 | 2017-09-19 |
| 1043660343 | Heath B Walters | Social Worker | 504 Main St Ste 470, Lewiston, ID 83501-1806 | 2016-06-16 |
| 1700253614 | Eric Stephen Esty | Social Worker | 35 Westminster St, Lewiston, ME 04240-3531 | 2015-08-26 |
| 1205213857 | Brandon Mcintosh | Social Worker | 523 1/2 Main St Ste 7, Lewiston, ID 83501-1870 | 2015-05-04 |
| 1285026229 | Lauren Nichols | Social Worker | 1310 9th Ave, Lewiston, ID 83501-3104 | 2015-02-27 |
| Find all providers in LEWISTON | ||||
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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.