Individual
MS. ANGELA MONICA BLAKE
Active
Individual
MS. ANGELA MONICA BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13147
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100103635
AMERICAN PSYCH SYSTEM
MD
01
—
384856
MANAGED HEALTH NETWORK
MD
01
—
517251
UHC MAMSI
—
01
—
600014-351
MAGELLAN BEHAVIORAL HEALT
MD
05
—
609550001
—
MD
01
—
724338
NCPPO PIN
—
01
—
LM49EA
CAREFIRST BCBS GROUP
MD
01
—
R968
CAREFIRST FEDERAL GROUP
—
Enumeration date
10/06/2006
Last updated
02/12/2016
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