Rebecca Blake LCSW-C
Clinical Social Worker in Baltimore, MD(View on Map)
Full Name
Rebecca Blake LCSW-C
NPI Number
1033549431
NPI Type
Individual Provider
Gender
Female
Enumeration Date
11/21/2013
Specialties
(Taxonomies)Licenses
State
Maryland
License Number
16096
Contact
Information
Purpose
Mailing
Location
Address
1111 LIGHT ST
2225 N CHARLES ST
City
Baltimore
Baltimore
State
MD
MD
Postal Code
21230-4297
21218-5778
Country
US
US
Telephone Number
(443) 280-1263
(410) 366-4360
Identifiers
Identifier
16096
Identifier State
MD
Identifier Issuer
STATE LICENSE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/21/2013