TINA M LAKE LSW
NPI 1164901054
Social Worker in Massillon, OH

Active since August 10, 2018
1660 NAVE RD SE, MASSILLON, OH 44646(330) 837-9411(330) 837-4603 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina M Lake Lsw NPPES

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

TINA M LAKE LSW (NPI 1164901054) is an individual social worker in Massillon, Ohio, licensed in Ohio (S1302473) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1164901054
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTINA M LAKECredential: LSW
Location Address1660 NAVE RD SEMassillon, OH 44646-9604
Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716
Fax(330) 837-4603
Sole ProprietorNo
Enumeration DateAugust 10, 2018
NPI 1164901054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in OH · S1302473
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDCA167304 (OH)
1660 NAVE RD SE, Massillon, OH 44646

Other Providers at the Same Location NPPES 20

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

Peer Specialist
1660 NAVE RD SE
MASSILLON, OH 44646
Registered Nurse (Addiction (Substance Use Disorder))
1660 NAVE RD SE
MASSILLON, OH 44646
Counselor (Addiction (Substance Use Disorder))
1660 NAVE RD SE
MASSILLON, OH 44646
Social Worker
1660 NAVE RD SE
MASSILLON, OH 44646
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
1660 NAVE RD SE
MASSILLON, OH 44646
Registered Nurse
1660 NAVE RD SE
MASSILLON, OH 44646
Registered Nurse
1660 NAVE RD SE
MASSILLON, OH 44646
Counselor (Addiction (Substance Use Disorder))
1660 NAVE RD SE
MASSILLON, OH 44646

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 Tina Lake's NPI number?

The NPI number for Tina Lake is 1164901054. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Where is Tina Lake located?

Tina Lake practices at 1660 Nave Rd SE, Massillon, OH 44646. The listed phone number is (330) 837-9411.

What is Tina Lake's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Tina Lake was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.