Susan A Blake is a Clinical in Anderson, Indiana. Susan A Blake practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan A Blake is 1053479428. The last update date is 2014-09-17.
Susan A Blake's current location address is 2020 Brown St, Anderson, Indiana. You can contact this provider via phone number 7656498161 and fax number 3176740059. The mailing address for Susan A Blake is 2020 Brown St, Anderson, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan A Blake |
|---|---|
| Address | 2020 Brown St, Anderson, Indiana |
| Phone Number | 7656498161 |
| Fax Number | 3176740059 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1053479428 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2014-09-17 |
Provider Mailing Address Detail
| Address | 2020 Brown St |
|---|---|
| City | Anderson |
| State | Indiana (IN) |
| Post Code | 460164218 |
| Phone Number | 7656498161 |
| Fax Number | 3176740059 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100073590 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan A Blake by the Centers for Medicare & Medicaid Services?
The Susan A Blake has been issued the NPI (National Provider Identifier) 1053479428 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Susan A Blake is physically located?
The Susan A Blake is situated at the following address: 2020 Brown St, Anderson, IN 460164218.
What is Susan A Blake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan A Blake is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Susan A Blake receive its 1053479428 assignment from the Centers for Medicare & Medicaid Services?
The Susan A Blake was assigned its 1053479428 by the Centers for Medicare & Medicaid Services on 2006-12-05.
When was the information related to Susan A Blake most recently updated or refreshed?
The details pertaining to the Susan A Blake, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-09-17.