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SHAUNNA DIOR BLAKE
NPI 1275034506
Social Worker - Clinical in Grand Rapids, MI

Active since February 22, 2018PECOS Enrolled
805 LEONARD ST NE, GRAND RAPIDS, MI 49503(616) 451-2021 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2026, Feb 22, 2018 (2 updates tracked since 2018).

About Shaunna Dior Blake NPPES

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

SHAUNNA DIOR BLAKE (NPI 1275034506) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801102209) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1275034506
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHAUNNA DIOR BLAKE
Location Address805 LEONARD ST NEGrand Rapids, MI 49503-1138
Mailing Address805 Leonard St NeGrand Rapids, MI 49503-1138 · (616) 451-2021
Phone(616) 451-2021
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 22, 2018
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1275034506 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 MI · 6801102209
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.
805 LEONARD ST NE, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Names 1

Former Name (1)Shaunna Abuya Lmsw

Secondary Practice Location 1

Location 1790 Fuller Ave NEGrand Rapids, MI 49503-1918 · Phone (616) 336-3909 · Fax (616) 336-8830

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaunna Dior Blake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901392083
PECOS Enrollment IDI20251227000332
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 Shaunna Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kent County Cmh Authority
0.7 mi
Community/Behavioral Health
790 FULLER AVE NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 164 clinicians in this Medicare group
NPI 1194617811 (616) 336-3909

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

HILARY CONSIGLIO LLMSW QIDP
Social Worker
805 LEONARD ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 284-5879
SARA HALKER
Social Worker (Clinical)
805 LEONARD ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 774-3411
JOHN LEROY JONES II LMSW
Social Worker
805 LEONARD ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 635-1520
ALEXIS MORGAN KOMPIER LMSW
Social Worker (Clinical)
805 LEONARD ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 774-3801
ALENA M GESSNER BS FAMILY STUDIES/CD
Social Worker
805 LEONARD ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 723-5072
CAITLIN BRUMMEL BSW, QIDP
Social Worker
805 LEONARD ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 774-2496
MISS HANNA ELIZABETH PEARSON BS
Behavior Technician
805 LEONARD ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 550-3538
VICTORIA NASSER B.S. CHILD DEVELOPME
Social Worker
805 LEONARD ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 240-7431

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 Shaunna Blake's NPI number?

The NPI number for Shaunna Blake is 1275034506. It was assigned to this individual provider in the NPPES registry on February 22, 2018. The provider is also known as Shaunna Abuya Lmsw.

Where is Shaunna Blake located?

Shaunna Blake practices at 805 Leonard St NE, Grand Rapids, MI 49503. The listed phone number is (616) 451-2021.

What is Shaunna Blake's specialty?

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

Is Shaunna Blake enrolled in Medicare?

Yes. Shaunna Blake is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shaunna Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaunna Blake reassigns Medicare benefits to Kent County Cmh Authority (Grand Rapids, MI). 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 Shaunna Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaunna Blake accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Shaunna Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaunna Blake was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.