LINDA SUSANNE BLAKE (NPI# 1215419791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215419791 |
| Entity Type | Individual |
| Full Name | LINDA SUSANNE BLAKE |
| Credential | LICSW |
| Practice Address |
19029 Us Highway 19 North, Villa 22d Clearwater FL 33764 |
| Practice Telephone | 5083690202 |
| Mailing Telephone | 5083690202 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1030914 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437474038 | Linda Blake | Speech-Language Pathologist | 314 North Division, Cleveland, OK 74020-3426 | 2010-04-07 |
| 1982062121 | Linda Cherise Blake | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2016-02-03 |
| 1043260961 | Linda A Blake | Chiropractor | 55185 Shelby Rd, Shelby Township, MI 48316-1150 | 2006-05-11 |
| Street Address |
19029 US HIGHWAY 19 NORTH, VILLA 22D |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891904 | Jennifer Rose Whealey | Social Worker | 1437 S. Belcher Rd., Clearwater, FL 33764 | 2020-04-28 |
| 1831740521 | Kasey Coffin | Pharmacist | 1938 Sever Drive, Clearwater, FL 33764 | 2019-09-24 |
| 1053876649 | Jacqueline Armstead | Community Health Worker | 11270 Us Hwy 19 N, Bldg#3 Apt#108, Clearwater, FL 33764 | 2019-02-07 |
| 1770002651 | American Advanced Senior Care LLC | Assisted Living Facility | 2298 Bellaire Road, Clearwater, FL 33764 | 2017-09-12 |
| 1366969016 | Ryan Black | Social Worker | 2100 Nursery Rd. E18, Clearwater, FL 33764 | 2017-08-24 |
| 1710370366 | Susan Arleen Gaddy | Dietitian, Registered | 1340 Weber Drive, Clearwater, FL 33764 | 2015-03-06 |
| 1699108373 | Lori L Fehr | Physician Assistant | 18167 U.S. Highway 19n, Suite 650, Emcare Attn: Laurie, Clearwater, FL 33764 | 2013-08-16 |
| 1306287628 | A Tender Touch In Home Services | In Home Supportive Care | 2159 Nursery Rd #314, Clearwater, FL 33764 | 2013-07-15 |
| 1174884134 | Applied Behavior Approaches of Tampa Bay Inc. | Community/Behavioral Health | 2225 Nursery Rd, Apt 13-203, Clearwater, FL 33764 | 2012-06-06 |
| 1316246267 | Quality Life Coach, Inc | In Home Supportive Care | 2731 Via Capri, Unit 928, Clearwater, FL 33764 | 2011-03-17 |
| Find all providers in zip 33764 | ||||
| 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 |
|---|---|---|---|---|
| 1336772656 | Lauren Rachelle Harmon | Social Worker | 1220 Palmetto St, Clearwater, FL 33755-4333 | 2020-02-14 |
| 1437793585 | Paige E Harlan | Social Worker | 626 Lakeview Rd Ste B, Clearwater, FL 33756-3359 | 2019-11-01 |
| 1346883121 | Veronica Montgomery-roper | Social Worker | 2707 E Grand Reserve Cir Apt 1421, Clearwater, FL 33759-4908 | 2019-10-23 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1154808863 | Gail Denise Day | Social Worker | 1967 Cormorant Ct Apt 526, Clearwater, FL 33762-5566 | 2018-07-25 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1033634761 | Chivon Tanara Cowart | Social Worker | 2936 Drew St Apt 1314, Clearwater, FL 33759-3056 | 2017-08-03 |
| 1184157687 | Lori Ellis | Social Worker | 2861 Executive Dr, Clearwater, FL 33762-2264 | 2017-04-11 |
| 1275906679 | Anna Capote | Social Worker | 2745 State Road 580 Ste 101, Clearwater, FL 33761-3359 | 2015-11-06 |
| 1386047348 | Sarah Maldonado | Social Worker | 1506 S Evergreen Ave, #1935, Clearwater, FL 33756-2263 | 2014-10-06 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33764 |
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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.