AMY M BLAKE MSW, LCSW
NPI 1164407367
Social Worker - Clinical in Osage Beach, MO

Q: What is Amy Blake's NPI number?

The NPI number for Amy Blake is 1164407367. It was assigned to this individual provider in the NPPES registry on December 9, 2005. The provider is also known as Amy M Dieckman Msw.

Q: What is Amy Blake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Blake was last updated on March 25, 2021. 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.

Active since December 09, 2005PECOS Enrolled

980 PARKSIDE VILLAGE LN, OSAGE BEACH, MO 65065(884) 031-0718(573) 302-7369 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Amy M Blake Msw, Lcsw NPPES

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

AMY M BLAKE MSW, LCSW (NPI 1164407367) is an individual clinical provider in Osage Beach, Missouri, licensed in Missouri (2003012111) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164407367

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMY M BLAKECredential: MSW, LCSW

Location Address980 PARKSIDE VILLAGE LNOsage Beach, MO 65065-3098

Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131

Phone(884) 031-0718

Fax(573) 302-7369

Sole ProprietorNo

Enumeration DateDecember 9, 2005

Last NPPES UpdateMarch 25, 2021

NPPES CertifiedMarch 25, 2021

✔ NPI 1164407367 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 MO · 2003012111

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.

980 PARKSIDE VILLAGE LN, Osage Beach, MO 65065

Open in Google Maps ↗

Other Names 1

Former Name (1)Amy M Dieckman Msw

Other Identifiers 1

Medicaid498800705MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy M Blake Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 65065 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 $52.28 – $161.24

Typical copayment $0.00 (range $13.07 – $40.31)

Most-billed visit code NA

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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 9

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

MS. TANA WARREN LPC, MS

Counselor (Professional)