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EVE BLAKE LCSW
NPI 1003962424
Social Worker - Clinical in Brooklyn, NY

Active since January 26, 2007Opted out of Medicare · through Feb 15, 2027
1600 BEVERLEY RD APT 6B, BROOKLYN, NY 11226(516) 972-6776 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eve Blake Lcsw NPPES

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

EVE BLAKE LCSW (NPI 1003962424) is an individual clinical provider in Brooklyn, New York, licensed in New York (072086-1) and active in the NPI registry since January 2007. She has opted out of Medicare through February 15, 2027 and remains eligible to order and refer and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1003962424
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEVE BLAKECredential: LCSW
Location Address1600 BEVERLEY RD APT 6BBrooklyn, NY 11226-5254
Mailing Address1600 Beverley Rd Apt 6bBrooklyn, NY 11226-5254 · (516) 972-6776
Phone(516) 972-6776
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
✔ NPI 1003962424 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 NY · 072086-1
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.
1600 BEVERLEY RD APT 6B, Brooklyn, NY 11226
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Secondary Practice Location 1

Location 11600 Beverley Rd Apt 6BBrooklyn, NY 11226-5254 · Phone (516) 972-6776

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Eve Blake Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 15, 2019 through February 15, 2027.

Opt-Out Effective DateFebruary 15, 2019
Opt-Out In Effect ThroughFebruary 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11226 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Eve Blake's NPI number?

The NPI number for Eve Blake is 1003962424. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Eve Blake located?

Eve Blake practices at 1600 Beverley Rd Apt 6B, Brooklyn, NY 11226. The listed phone number is (516) 972-6776.

What is Eve Blake's specialty?

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

Is Eve Blake enrolled in Medicare?

No. Eve Blake has opted out of Medicare through February 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Eve Blake was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.