Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Shaunna 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 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 39 days 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 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: August 16, 2026.

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

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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 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

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Other Names 1

Former Name (1)Shaunna Abuya Lmsw

Medicare Participation & PECOS CMS

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

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.

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