DR. SUSAN D BLAKE (NPI# 1720127855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720127855 |
| Entity Type | Individual |
| Full Name | DR. SUSAN D BLAKE |
| Credential | LPC |
| Practice Address |
3650 Morris Farm Dr 3b Greensboro NC 27409-8944 |
| Practice Telephone | 3364027346 |
| Mailing Telephone | 3364027346 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2016-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5578 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6103471 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669694253 | Susan Elizabeth Blake | Dentist | Fluvanna Correctional Center, Route 250 East, Troy, VA 22974 | 2007-05-03 |
| 1831295419 | Susan Rhodes Blake | Counselor | 4067 Broadway St, San Antonio, TX 78209-6313 | 2006-09-15 |
| 1215387212 | Susan Blake | Occupational Therapist | 52 Missionary Rd, Cromwell, CT 06416-2170 | 2016-06-21 |
| 1447663737 | Susan Blake | Registered Nurse | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2014-06-04 |
| 1053479428 | Susan A Blake | Social Worker | 2020 Brown St, Anderson, IN 46016-4218 | 2006-12-05 |
| 1811963705 | Susan F Blake | Optometrist | 2216 Lincoln Way E, Massillon, OH 44646-7062 | 2006-02-28 |
| Street Address |
3650 MORRIS FARM DR 3B |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27409-8944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750598140 | Melissa Catherine Marty | Specialist/Technologist | 3650 Morris Farm Dr, #2b, Greensboro, NC 27409-8944 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423136 | Ethan Lechner | Social Worker | Holistic Commons, 123 S. Walnut Circle, Greensboro, NC 27409 | 2019-08-20 |
| 1558844340 | Alphonza Faison Jr. | Registered Nurse | 5201 W Market St Ste 108, Greensboro, NC 27409 | 2018-09-08 |
| 1821578410 | Trifecta Transportation Services Inc. | Non-emergency Medical Transport (VAN) | 5617 Hornaday Rd Unit J, Greensboro, NC 27409 | 2018-08-14 |
| 1003393067 | Alonzo Jones | Medical Foods Supplier | 5617 Hornaday Rd, Unit J, Greensboro, NC 27409 | 2018-07-23 |
| 1073065785 | Occupational Health Centers of North Carolina, PC | Clinic/Center | 3306 Edgefield Road, Greensboro, NC 27409 | 2016-10-28 |
| 1184055667 | Novant Medical Group, Inc | Family Medicine | 501 Hickory Branch Road, Greensboro, NC 27409 | 2013-12-09 |
| 1588094478 | James Bassett | Veterinarian | 501 Nicholas Rd., Carolina Veterinary Specialists, Greensboro, NC 27409 | 2013-11-14 |
| 1386813038 | Alex Glenn Tomlinson | Specialist | 142 North Walnut Cir, Apt B, Greensboro, NC 27409 | 2008-02-27 |
| 1477739670 | Angela Marie Odom | Speech-Language Pathologist | 4325-3d Cedarcroft Court, Greensboro, NC 27409 | 2008-01-17 |
| 1538341037 | Meia Deneaca Burke | Counselor | 7900 Triad Center, Suite 350, Greensboro, NC 27409 | 2007-11-27 |
| Find all providers in zip 27409 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719842 | Ann Michele Gregory | Counselor | 2625 Camden Rd, Greensboro, NC 27403-1436 | 2020-01-15 |
| 1861032567 | Shaniece G Hopkins | Counselor | 5316 Fox Cove Ln Apt B, Greensboro, NC 27407-5969 | 2020-01-10 |
| 1790320190 | Zobaida Laota | Counselor | 3214 Brassfield Rd Apt 6202, Greensboro, NC 27410-9454 | 2019-11-10 |
| 1336798446 | Alishia Mccullough | Counselor | 1175 Revolution Mill Dr, Greensboro, NC 27405-5079 | 2019-09-11 |
| 1184279002 | Dazzmen Davis | Counselor | 418 Eugene Ct, Greensboro, NC 27401-2714 | 2019-08-07 |
| 1376104323 | Dominiquie Clemmons-james | Counselor | 2615 Vanstory St, Greensboro, NC 27407-4731 | 2019-06-20 |
| 1730640996 | Senetria Renea Shay | Counselor | 3901 Battleground Ave Apt 103, Greensboro, NC 27410-9461 | 2019-03-28 |
| 1053885491 | Vanessa York | Counselor | 1451 S Elm Eugene St Ste 3219, Greensboro, NC 27406-2200 | 2019-01-18 |
| 1417427915 | Schenika La Donna Silver | Counselor | 2216 W Meadowview Rd Ste 207, Greensboro, NC 27407-3401 | 2018-11-28 |
| 1215411566 | Whitney Saraya Conaway | Counselor | 3409 W Wendover Ave Ste 1, Greensboro, NC 27407-1580 | 2018-09-23 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27409 |
Please comment or provide details below to improve the information on DR. SUSAN D 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.