1. Home
  2. Directory
  3. Maryland
  4. Woodlawn
  5. Social Worker
  6. NPI Profile

LAURENE MARIE BLAKE LCSW
NPI 1265890065
Social Worker in Woodlawn, MD

Active since February 08, 2016PECOS EnrolledAccepts Medicare Assignment
6665 SECURITY BLVD, WOODLAWN, MD 21207(410) 265-7291(410) 265-7294 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2021, Nov 15, 2016, Feb 8, 2016 (3 updates tracked since 2016).

About Laurene Marie Blake Lcsw NPPES

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

LAURENE MARIE BLAKE LCSW (NPI 1265890065) is an individual social worker in Woodlawn, Maryland, licensed in Maryland (06441) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1265890065
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameLAURENE MARIE BLAKECredential: LCSW
Location Address6665 SECURITY BLVDWoodlawn, MD 21207-4018
Mailing Address6665 Security BlvdWoodlawn, MD 21207-4018 · (410) 265-7291 · Fax (410) 265-7294
Phone(410) 265-7291
Fax(410) 265-7294
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateFebruary 8, 2016
Last NPPES UpdateDecember 9, 20213 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
✔ NPI 1265890065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MD · 06441
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.
6665 SECURITY BLVD, Woodlawn, MD 21207
Open in Google Maps ↗

Other Names 1

Professional Name (2)Laurene M Walker Lcswc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laurene Marie 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 ID2961707153
PECOS Enrollment IDI20160225002292
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.

Medicare Billing Reassignment

Medicare enrollment records show Laurene Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bon Ridge Wellness, LLC
1.5 mi
Clinical
2500 N ROLLING RD STE 102
Windsor Mill, MD 21244
  • Reassigned Medicare billing, Maryland enrollment
  • 10 clinicians in this Medicare group
NPI 1922710995 (301) 571-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

DANITA RENE COBBS LCSWC
Social Worker (Clinical)
6665 SECURITY BLVD
WOODLAWN, MD 21207
Baltimore City (410) 265-7291
MSBC FIVE STAR PROGRAM INC
Counselor (Professional)
6665 SECURITY BLVD
WOODLAWN, MD 21207
Baltimore City (410) 265-7291
MRS. REGINA W. BROWN LCPC, CRC
Counselor (Professional)
6665 SECURITY BLVD
BALTIMORE, MD 21207
Baltimore City (410) 265-7291
MR. DARRYL BRYANT WEBSTER
Counselor (Professional)
6665 SECURITY BLVD
WOODLAWN, MD 21207
Baltimore City (410) 265-7291
NICOLE C BARBER MA, MDIV., CAS, LCPC
Counselor
6665 SECURITY BLVD, THE RENAISSANCE CENTER
BALTIMORE, MD 21207
Baltimore City (410) 265-7291
NICHOLE BOSWELL
Social Worker (Clinical)
6665 SECURITY BLVD
WOODLAWN, MD 21207
Baltimore City (410) 265-7291
L'TANYA GEDDIE
Social Worker (Clinical)
6665 SECURITY BLVD
WOODLAWN, MD 21207
Baltimore City (410) 265-7291

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 Laurene Blake's NPI number?

The NPI number for Laurene Blake is 1265890065. It was assigned to this individual provider in the NPPES registry on February 8, 2016. The provider is also known as Laurene M Walker Lcswc.

Where is Laurene Blake located?

Laurene Blake practices at 6665 Security Blvd, Woodlawn, MD 21207. The listed phone number is (410) 265-7291.

What is Laurene Blake's specialty?

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

Is Laurene Blake enrolled in Medicare?

Yes. Laurene 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.

Which organization bills Medicare for Laurene Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laurene Blake reassigns Medicare benefits to Bon Ridge Wellness, LLC (Windsor Mill, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laurene Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Laurene Blake was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.