Melinda A Blake, APSW is a
Social Worker - Clinical based in Milwaukee, Wisconsin. Melinda A Blake is licensed to practice in Wisconsin (license number 131843) and her current practice location is
4650 S Howell Ave, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 376-5577.
NPI number for Melinda A Blake is 1487388831 and her current mailing address is 217 Wisconsin Ave Ste 204, Waukesha, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487388831.
Healthcare Provider's Profile
Full Name | Melinda A Blake |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4650 S Howell Ave, Milwaukee, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487388831
- Provider Enumeration Date: 07/12/2022
- Last Update Date: 07/12/2022
Medical Identifiers
Medical identifiers for Melinda A Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487388831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 18503 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 131843 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melinda A Blake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Melinda A Blake, APSW 217 Wisconsin Ave Ste 204, Waukesha, WI 53186-4946 Ph: (414) 301-6384 | Melinda A Blake, APSW 4650 S Howell Ave, Milwaukee, WI 53207-5908 Ph: (414) 376-5577 |
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