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

Individual provider Clinical Social Worker · NPI 1003827239

Jeffrey Blake, LCSW is a Clinical Social Worker in Portland, Maine. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
23
Licensed in
ME
In the registry since
2006
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

22 Monument Sq #403
Portland, ME 04101-3914
Phone: (207) 749-9075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC9874 (ME)

Record details

NPI number1003827239
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 11, 2006
Last updated in NPPESMarch 11, 2013
Mailing address22 Monument Sq, 403, Portland, ME 04101-4082

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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