DIANE BLAKE (NPI# 1437502903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437502903 |
| Entity Type | Individual |
| Full Name | DIANE BLAKE |
| Credential | LCSW |
| Practice Address |
80 Eureka Sq Suite 151 Pacifica CA 94044-2654 |
| Practice Telephone | 6507135224 |
| Mailing Telephone | 6507135224 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 24542 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144581976 | Diane M Blake | Specialist | 1 Comus Rd, Rocky Point, NY 11778-9541 | 2012-06-07 |
| 1316921182 | Diane R Blake | Pediatrics | 55 Lake Ave N, Department of Adolescent Medicine, Worcester, MA 01655-0002 | 2005-12-05 |
| Street Address |
80 EUREKA SQ SUITE 151 |
| City | PACIFICA |
| State | CA |
| Zip Code | 94044-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952404212 | Bryan P Mcdade | Physical Therapist | 80 Eureka Sq, Unit 217, Pacifica, CA 94044-2654 | 2006-09-05 |
| 1548616493 | Lopez-rullamas Chiropractic Inc | Point of Service | 80 Eureka Sq, Suite 217, Pacifica, CA 94044-2654 | 2016-05-10 |
| 1689032518 | Maria Anjoline Lopez-rullamas | Chiropractor | 80 Eureka Sq, Suite 217, Pacifica, CA 94044-2654 | 2016-02-06 |
| 1811386402 | Pacific Neurohealth, A Psychological Corporation | Psychologist | 80 Eureka Sq, Suite 218, Pacifica, CA 94044-2654 | 2015-01-20 |
| 1013159631 | Willow Family Therapy Inc | Marriage & Family Therapist | 80 Eureka Sq, Suite 216, Pacifica, CA 94044-2654 | 2009-03-27 |
| 1669612818 | Stephen Ignatius Lennon | Marriage & Family Therapist | 80 Eureka Sq, Ste. 151, Pacifica, CA 94044-2654 | 2009-03-01 |
| 1043402993 | Diane Custer | Marriage & Family Therapist | 80 Eureka Sq, Suite 151, Pacifica, CA 94044-2654 | 2007-08-14 |
| 1689881344 | Patricia Luken | Marriage & Family Therapist | 80 Eureka Sq, Suite 120, Pacifica, CA 94044-2654 | 2007-05-16 |
| 1023233202 | Jeffrey Joseph Bruno | Psychologist | 80 Eureka Sq, Suite 215, Pacifica, CA 94044-2654 | 2007-04-14 |
| 1447373493 | Marivic Rosabelle Dizon | Psychologist | 80 Eureka Sq, Suite 213, Pacifica, CA 94044-2654 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878818 | Megan Breanna Murphy | Behavior Technician | 352 Fairway Dr, Pacifica, CA 94044 | 2019-12-13 |
| 1033603360 | Aurelia Ann Mullen Spadini | Registered Nurse | 1467 Crespi Dr., Pacifica, CA 94044 | 2018-06-20 |
| 1306258595 | Kathy Marie Dodge | Marriage & Family Therapist | 243 Arroyo Drive, Pacifica, CA 94044 | 2014-05-22 |
| 1417367715 | Lisa Marie Lee | Nurse Practitioner | 340 Eureka Drive, Pacifica, CA 94044 | 2014-05-07 |
| 1730510306 | Erin Somers | Counselor | 435 Edgemar Avenue, Pacifica, CA 94044 | 2013-12-09 |
| 1730514761 | Lydia Mae Hernandez | Physical Therapy Assistant | 2400 Skyline Blvd, Apt G4, Pacifica, CA 94044 | 2013-09-10 |
| 1326483041 | Eddie B. Waldrup | Marriage & Family Therapist | 3976 24th Street, San Francisco, CA 94044 | 2013-05-08 |
| 1346593258 | Clarissa Laqui Dimacali | Nurse's Aide | 50 W. Manor Dr # 1393, Pacifica, CA 94044 | 2012-10-17 |
| 1164718581 | Jose Higareda Lopez | Counselor | 480 Manor Plaza, Pacifica, CA 94044 | 2011-06-23 |
| 1558693234 | Susanne Labarge | Acupuncturist | 1305 A Palmetto Ave, Pacifica, CA 94044 | 2010-02-05 |
| Find all providers in zip 94044 | ||||
| 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 |
|---|---|---|---|---|
| 1174171953 | Bethc227 Ann Chiarelli | Social Worker | 80 Eureka Sq Ste 147, Pacifica, CA 94044-2686 | 2019-08-26 |
| 1952969743 | Support Network of The Bay Area | Social Worker | 293 Sunshine Dr, Pacifica, CA 94044-1129 | 2019-06-05 |
| 1235684945 | Cynthia Levin | Social Worker | 18 Outlook Cir, Pacifica, CA 94044-2145 | 2016-08-23 |
| 1538324934 | Sharon J Hagen | Social Worker | 217 Outlook Heights Ct, Pacifica, CA 94044-2174 | 2008-07-24 |
| 1174642227 | Joan Marie Evans | Social Worker | 204 Olympian Way, Pacifica, CA 94044-3955 | 2007-03-28 |
| 1396757936 | Joyce L. Bell | Social Worker | 465 Brighton Rd, Pacifica, CA 94044-2813 | 2006-08-12 |
| 1669460523 | Jean B Taylor | Social Worker | 450 Dondee St, Suite #9, Pacifica, CA 94044-3056 | 2005-10-13 |
| 1043409774 | Charlotte Mccall | Social Worker | 480 Manor Plz, Pacifica, CA 94044-1839 | 2007-10-18 |
| 1467522359 | Maria Patricia Soto-minder | Social Worker | 80 Eureka Sq, 129, Pacifica, CA 94044-2654 | 2006-11-08 |
| 1710953153 | Marianne Hipona | Social Worker | 450 Dondee St, Suite 9 B, Pacifica, CA 94044-3056 | 2006-02-26 |
| Find all providers in PACIFICA | ||||
Please comment or provide details below to improve the information on DIANE BLAKE.
| 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.