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SHIRLEY BLAKE BA LBSW
NPI 1386343408
Social Worker in Paw Paw, MI

Active since February 27, 2023
801 HAZEN ST, PAW PAW, MI 49079(269) 655-3337(269) 657-3474 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shirley Blake Ba Lbsw NPPES

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

SHIRLEY BLAKE BA LBSW (NPI 1386343408) is an individual social worker in Paw Paw, Michigan, licensed in Michigan (6802080513) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1386343408
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHIRLEY BLAKECredential: BA LBSW
Location Address801 HAZEN STPaw Paw, MI 49079-2008
Mailing AddressPo Box 249Paw Paw, MI 49079-0249 · (269) 657-5574 · Fax (269) 657-3474
Phone(269) 655-3337
Fax(269) 657-3474
Sole ProprietorNo
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
✔ NPI 1386343408 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 MI · 6802080513
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.
801 HAZEN ST, Paw Paw, MI 49079
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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.

VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Psychiatry & Neurology (Psychiatry)
801 HAZEN ST, STE C
PAW PAW, MI 49079
Van Buren County (269) 657-5574
VAN BURE COMMUNITY MENTAL HEALTH
Community/Behavioral Health
801 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-5574
ALEXIS KELLY OTR-L
Occupational Therapist
801 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 655-3334
JOHN DUDLEY FUSE
Social Worker
801 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-5574
GEORGETTE PETERSON
Licensed Practical Nurse
801 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 655-3334
KELLIE HOLM LMSW
Social Worker (Clinical)
801 HAZEN ST, SUITE C
PAW PAW, MI 49079
Van Buren County (269) 657-5574
MRS. SARAH LYNN GAMBILL LMSW
Social Worker (Clinical)
801 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-5574
KIMBERLY DUELL RN
Registered Nurse
801 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-5574

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 Shirley Blake's NPI number?

The NPI number for Shirley Blake is 1386343408. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Shirley Blake located?

Shirley Blake practices at 801 Hazen St, Paw Paw, MI 49079. The listed phone number is (269) 655-3337.

What is Shirley Blake'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 Shirley Blake was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.