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JEFFREY BLAKE LCSW
NPI 1003827239
Social Worker - Clinical in Portland, ME

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
22 MONUMENT SQUARE, #403, PORTLAND, ME 04101(207) 749-9075 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey Blake Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY BLAKE LCSW (NPI 1003827239) is an individual clinical provider in Portland, Maine, licensed in Maine (LC9874) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1003827239
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEFFREY BLAKECredential: LCSW
Location Address22 MONUMENT SQUARE, #403Portland, ME 04101-3914
Mailing Address22 Monument Sq, #403Portland, ME 04101-4082 · (207) 749-9075
Phone(207) 749-9075
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 11, 2006
Last NPPES UpdateMarch 11, 2013
✔ NPI 1003827239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ME · LC9874
Definition
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.
22 MONUMENT SQUARE, Portland, ME 04101
Open in Google Maps ↗

Other Identifiers 1

Medicaid325620099ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Blake Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709817984
PECOS Enrollment IDI20050826000876
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PASSPORT HEALTH HOLDINGS, LLC
Preventive Medicine (Public Health & General Preventive Medicine)
22 MONUMENT SQUARE, SUITE 507
PORTLAND, ME 04101
Cumberland County (877) 358-8648

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Blake's NPI number?

The NPI number for Jeffrey Blake is 1003827239. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Jeffrey Blake located?

Jeffrey Blake practices at 22 Monument Square #403, Portland, ME 04101. The listed phone number is (207) 749-9075.

What is Jeffrey Blake's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeffrey Blake enrolled in Medicare?

Yes. Jeffrey Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeffrey Blake accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Jeffrey Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Blake was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.