Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dawn Blake, LCSW

Individual provider Clinical Social Worker · NPI 1376166934

Dawn Blake, LCSW is a Clinical Social Worker in Brunswick, Maine. Qualified in 2019, 7 years ago. Practices with Talkspace Provider Network PA, a 256-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
7
Licensed in
ME
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

19 Station Ave Apt 101
Brunswick, ME 04011-2088
Phone: (207) 380-4418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Forest Ave, Portland, ME 04101-1503 — (207) 994-7555

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC22158 (ME)

Record details

NPI number1376166934
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 18, 2020
Last updated in NPPESJune 28, 2025
Certification dateJune 28, 2025
Mailing address501 Forest Ave, Portland, ME 04101-1503

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Talkspace Provider Network Pa — 256 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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