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DR. MICHELLE EMERY BLAKE PH.D LCSW NPI 1508990136


NPI Information

NPI: 1508990136
Provider Name: DR. MICHELLE EMERY BLAKE, PH.D, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
223 DUNBAR CAVE RD
CLARKSVILLE, TN
ZIP 37043
Phone: (651) 313-8080
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DR. Michelle Emery Blake, PH.D, LCSW is a clinical social worker in Clarksville, TN. The provider is 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. DR. Michelle Emery Blake, PH.D, LCSW NPI is 1508990136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

223 DUNBAR CAVE RD
CLARKSVILLE, TN
ZIP 37043-830
Phone: (651) 313-8080

The NPI 1508990136 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalKY-2081KENTUCKYNo
21041C0700XSocial WorkerClinical34004767AINDIANANo
31041C0700XSocial WorkerClinical8160TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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