Anthonette Blake, is a
Social Worker - Clinical based in Ashtabula, Ohio. Anthonette Blake is licensed to practice in Ohio (license number I.2305042) and her current practice location is
2801 C Ct, Ashtabula, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 998-4210.
NPI number for Anthonette Blake is 1891200432 and her current mailing address is 2801 C Ct, Ashtabula, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891200432.
Healthcare Provider's Profile
Full Name | Anthonette Blake |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 2801 C Ct, Ashtabula, Ohio |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891200432
- Provider Enumeration Date: 12/05/2017
- Last Update Date: 01/03/2024
Medical Identifiers
Medical identifiers for Anthonette Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891200432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I.2305042 (Ohio) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Ohio) | 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. Anthonette 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 |
Anthonette Blake, 2801 C Ct, Ashtabula, OH 44004-4577 Ph: (440) 998-4210 | Anthonette Blake, 2801 C Ct, Ashtabula, OH 44004-4577 Ph: (440) 998-4210 |
Reviews and Comments