National Provider Identifier Database

NICOLE E BLAKE, LCSW, LADC – NPI #1962022350
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

NICOLE E BLAKE, LCSW, LADC
40 BRACKETT ST APT 3
WESTBROOK, ME04092-3383
Phone: 603-860-4900
Fax:
Website:
Specialty Taxonomy Code
* Clinical 1041C0700X
Addiction (Substance Use Disorder) 101YA0400X

* Indicates primary specialty

NPI Profile & details for NICOLE E BLAKE

NPI Number 1962022350
Credentials LCSW, LADC
Entity Individual
Enumeration date 04/25/2020
Last updated 10/30/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • ME License #: LC21397
  • ME License #: LC7566
  • NH License #: 2905
  • Other: 2077079813 INDIV NPI
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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