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

Individual provider Clinical Social Worker · NPI 1215419791

Linda Susanne Blake, LICSW is a Clinical Social Worker in Clearwater, Florida. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

19029 US Highway 19 North Villa 22D
Clearwater, FL 33764
Phone: (508) 369-0202
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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 1030914 (MA)

Record details

NPI number1215419791
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 31, 2018
Last updated in NPPESAugust 31, 2018

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