Alex Blake, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. She graduated from healthcare school in 2023 and has 3 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1625 Schrader Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(323) 993-7500.
Alex Blake is licensed to practice in California (license number 135612) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1063182020.
Healthcare Provider's Profile
| Full Name | Alex Blake |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 3 Years |
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| Location | 1625 Schrader Blvd, Los Angeles, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Alex Blake graduated from medical school in 2023
NPI Data:
- NPI Number: 1063182020
- Provider Enumeration Date: 09/20/2021
- Last Update Date: 02/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 4486136736
- Enrollment ID: I20260305001328
Medical Identifiers
Medical identifiers for Alex Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063182020 | NPI | - | NPPES |
| 01536011 | Other | CA | MEDICAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | 135612 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alex Blake allows following entities to bill medicare on her behalf.
| Entity Name | Los Angeles Lgbt Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548298532 PECOS PAC ID: 8729975453 Enrollment ID: O20040227001020 |
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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. Alex Blake is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Alex Blake, LCSW 1625 Schrader Blvd, Los Angeles, CA 90028-6213 Ph: Not Available | Alex Blake, LCSW 1625 Schrader Blvd, Los Angeles, CA 90028-6213 Ph: (323) 993-7500 |
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