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

Shaunna Dior Blake

Individual provider Clinical Social Worker · NPI 1275034506

Shaunna Dior Blake is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

805 Leonard St NE
Grand Rapids, MI 49503-1138
Phone: (616) 451-2021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 — (616) 336-3909

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801102209 (MI)

Record details

NPI number1275034506
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2018
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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