SearchMaineClinical Social Worker

Jeffrey Blake, LCSW

NPI 1003827239 · on the registry since 2006 · sole proprietor

Practice

Address
22 Monument Square
#403
Portland, ME 04101
Phone
(207) 749-9075
Organisation at this address
Passport Health Holdings, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine