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Contact Information

LAURENE M BLAKE, LCSW
6665 SECURITY BLVD
WOODLAWN, MD21207-4018
 Phone: 410-265-7291
 Fax: 410-265-7294
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LAURENE M BLAKE · (Female)

NPI Number 1265890065
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 02/08/2016
Last updated 12/09/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 06441
Hospital affiliation(s) Not Available
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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