LINDA SUSANNE BLAKE LICSW
NPI 1215419791
Social Worker - Clinical in Clearwater, FL

Active since August 31, 2018
19029 US HIGHWAY 19 NORTH, VILLA 22D, CLEARWATER, FL 33764(508) 369-0202 Get Directions Write a Review

NPPES record last updated: August 31, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Linda Susanne Blake Licsw NPPES

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

LINDA SUSANNE BLAKE LICSW (NPI 1215419791) is an individual clinical provider in Clearwater, Florida, licensed in Massachusetts (1030914) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1215419791
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLINDA SUSANNE BLAKECredential: LICSW
Location Address19029 US HIGHWAY 19 NORTH, VILLA 22DClearwater, FL 33764
Mailing Address19029 Us Highway 19 North, Villa 22dClearwater, FL 33764 · (508) 369-0202
Sole ProprietorYes
Enumeration DateAugust 31, 2018
NPI 1215419791 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 MA · 1030914
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.
19029 US HIGHWAY 19 NORTH, VILLA 22D, Clearwater, FL 33764

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 Linda Blake's NPI number?

The NPI number for Linda Blake is 1215419791. It was assigned to this individual provider in the NPPES registry on August 31, 2018.

Where is Linda Blake located?

Linda Blake practices at 19029 Us Highway 19 North, Villa 22D, Clearwater, FL 33764. The listed phone number is (508) 369-0202.

What is Linda Blake's specialty?

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

When was this NPI record last updated?

The NPPES record for Linda Blake was last updated on August 31, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.