Eve Blake, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072086-1 Issued in NY

Practice address

1600 Beverley Rd Apt 6B
Brooklyn, NY 11226-5254

Phone

(516) 972-6776

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 15, 2019 through Feb 15, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Steinway Child and Family Services, Inc

  • Clinical Social Worker
  • Howard Beach, NY
  • NPI 1346286382
  NPD (past)
• Steinway Child and Family Services, Inc.

  • Clinical Social Worker
  • Long Island City, NY
  • NPI 1801844584
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1003962424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BEVERLEY RD APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265254",
            "telephone_number": "516-972-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BEVERLEY RD APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265254",
            "telephone_number": "516-972-6776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Beverley Rd Apt 6B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112265254",
            "country_code": "US",
            "telephone_number": "516-972-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "EVE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072086-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholson P. Blaise
• David E Blaize, PA
• Ariel Neema Blake
• Cynthia Blake
• Derricker Blake
• Jamel Blake
• Jenny Blake
• Kadian K Blake
• Lola Blake
• Lorin Blake

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.