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

Tina M Lake, LSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164901054

Tina M Lake, LSW is an Addiction (Substance Use Disorder) Counselor in Massillon, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

1660 Nave Rd SE
Massillon, OH 44646-9604
Phone: (330) 837-9411
Fax: (330) 837-4603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S1302473 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA167304 (OH)

Record details

NPI number1164901054
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedAugust 10, 2018
Last updated in NPPESAugust 10, 2018

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