Melissa Blake, ACSW is a
Social Worker - Clinical based in Santa Monica, California. Melissa Blake is licensed to practice in California (license number ASW 31925) and her current practice location is
2825 Santa Monica Blvd, Suite 100, Santa Monica, California. She can be reached at her office (for appointments etc.) via phone at
(310) 566-1470.
NPI number for Melissa Blake is 1548507882 and her current mailing address is 2825 Santa Monica Blvd, Suite 100, Santa Monica, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548507882.
Healthcare Provider's Profile
| Full Name | Melissa Blake |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2825 Santa Monica Blvd, Santa Monica, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548507882
- Provider Enumeration Date: 01/07/2013
- Last Update Date: 01/07/2013
Medical Identifiers
Medical identifiers for Melissa Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548507882 | NPI | - | NPPES |
| ASW 31925 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW 31925 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW 31925 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | ASW 31925 (California) | Secondary |
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. Melissa 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 |
|---|
Melissa Blake, ACSW
2825 Santa Monica Blvd, Suite 100,
Santa Monica, CA 90404-2429
Ph: (310) 566-1470 | Melissa Blake, ACSW
2825 Santa Monica Blvd, Suite 100,
Santa Monica, CA 90404-2429
Ph: (310) 566-1470 |
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