GREGORY GEORGE BLAKLEY (NPI# 1538705827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538705827 |
| Entity Type | Individual |
| Full Name | GREGORY GEORGE BLAKLEY |
| Credential | LCSW |
| Practice Address |
1 Long Wharf Dr Ste 321 New Haven CT 06511-5946 |
| Practice Telephone | 2037814600 |
| Practice Fax Number | 2037814624 |
| Mailing Telephone | 2037814600 |
| Mailing Fax Number | 2037814624 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
10865 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008092064 | 05 | |
| CT | 008003745 | 05 | |
| CT | 004041000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402351 | Gregory M Blakley | Counselor | 9403 Kenwood Rd, Blue Ash, OH 45242-6895 | 2020-06-19 |
| Street Address |
1 LONG WHARF DR STE 321 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487943114 | Brady John Heward | Psychiatry & Neurology | 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 | 2011-04-04 |
| 1053918045 | Hannah Kristan | Social Worker | 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 | 2020-10-03 |
| 1740816560 | Kelly Mcelreath | Registered Nurse | 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 | 2020-03-13 |
| 1679112569 | Brian Adam Bonilla | Counselor | 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 | 2019-12-26 |
| 1255974770 | Lorianne Meus | Nurse Practitioner | 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 | 2019-10-28 |
| 1427690841 | Christine Elizabeth Tirado | Counselor | 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 | 2019-10-17 |
| 1932671575 | Michael N Tawiah | Nurse Practitioner | 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 | 2018-12-20 |
| 1851862551 | Mami Ngombabu | Registered Nurse | 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 | 2018-12-07 |
| 1629543277 | Julia E Greene | Nurse Practitioner | 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5991 | 2018-10-10 |
| 1598115750 | Natalie Elena Stahl | Family Medicine | 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| 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 |
|---|---|---|---|---|
| 1487252995 | Peter James Butler | Social Worker | 580 Dixwell Ave, New Haven, CT 06511-1744 | 2020-10-16 |
| 1639785363 | Rita J Wagner | Social Worker | 81 Lenox St, New Haven, CT 06513-4420 | 2020-09-18 |
| 1659983740 | Neta Korem | Social Worker | 135 Canner St, New Haven, CT 06511-2201 | 2020-08-19 |
| 1568074136 | Jalena Louise Robertson Adams | Social Worker | 2218 Lyons Station Rd, New Haven, KY 40051-8723 | 2020-08-17 |
| 1588272744 | Angela Monique Avery | Social Worker | 1423 Chapel St Ste 2r, New Haven, CT 06511-4411 | 2020-07-14 |
| 1427675255 | Tatiana Martinez | Social Worker | 350 George St Fl 2, New Haven, CT 06511-6617 | 2020-06-27 |
| 1275167959 | Cheyenne Taylor | Social Worker | 911-913 State St, Sscs, New Haven, CT 06511-3926 | 2020-03-03 |
| 1093349862 | Becoming You Therapy | Social Worker | 14 Trumbull St Ste 103, New Haven, CT 06511-6312 | 2020-03-02 |
| 1245880418 | Estela Lopez-de Lara | Social Worker | 455 Orange St Ofc 1, New Haven, CT 06511-6202 | 2019-09-18 |
| 1710549753 | Adna Linden | Social Worker | 35 Elm St Ste 1c, New Haven, CT 06510-2023 | 2019-06-30 |
| Find all providers in NEW HAVEN | ||||
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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.