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NICOLE E BLAKE LCSW, LADC
NPI 1962022350
Social Worker - Clinical in Westbrook, ME

Active since April 25, 2020PECOS Enrolled
40 BRACKETT ST APT 3, WESTBROOK, ME 04092(603) 860-4900 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, Mar 16, 2023, Feb 8, 2023 and 4 more (7 updates tracked since 2020).

About Nicole E Blake Lcsw, Ladc NPPES

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

NICOLE E BLAKE LCSW, LADC (NPI 1962022350) is an individual clinical provider in Westbrook, Maine, licensed in Maine (LC21397) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962022350
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE E BLAKECredential: LCSW, LADC
Location Address40 BRACKETT ST APT 3Westbrook, ME 04092-3383
Mailing Address40 Brackett St Apt 3Westbrook, ME 04092-3383 · (603) 860-4900
Phone(603) 860-4900
Sole ProprietorYes
Enumeration DateApril 25, 2020
Last NPPES UpdateOctober 30, 20237 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1962022350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in ME · LC21397✔ Licensed in NH · 2905
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LC7566 (ME)
40 BRACKETT ST APT 3, Westbrook, ME 04092
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Other Names 1

Former Name (1)Nicole Jewell

Other Identifiers 1

Other2077079813Indiv Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole E Blake Lcsw, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 04092 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 $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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

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

MINT CONDITION COUNSELING, LLC
Social Worker (Clinical)
40 BRACKETT ST APT 3
WESTBROOK, ME 04092
Cumberland County (603) 860-4900

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 Nicole Blake's NPI number?

The NPI number for Nicole Blake is 1962022350. It was assigned to this individual provider in the NPPES registry on April 25, 2020. The provider is also known as Nicole Jewell.

Where is Nicole Blake located?

Nicole Blake practices at 40 Brackett St Apt 3, Westbrook, ME 04092. The listed phone number is (603) 860-4900.

What is Nicole Blake's specialty?

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

Is Nicole Blake enrolled in Medicare?

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

What insurance does Nicole Blake accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan and WellSense Health Plan list Nicole 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 Nicole Blake was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.