National Provider Identifier Database

LINDA S BLAKE, LICSW – NPI #1215419791
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.


Contact Information

LINDA S BLAKE, LICSW
19029 US HIGHWAY 19 NORTH, VILLA 22D
CLEARWATER, FL33764
Phone: 508-369-0202
Fax:
Website:
Specialty Taxonomy Code
* Clinical 1041C0700X

* Indicates primary specialty

NPI Profile & details for LINDA S BLAKE

NPI Number 1215419791
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 08/31/2018
Last updated 08/31/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • MA License #: 1030914
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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