Sarah Judith Blake, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12682 Issued in MD

Practice address

10630 Little Patuxent Pkwy Ste 313
Columbia, MD 21044-6216

Phone

(410) 988-4002

Fax

(410) 988-2024

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1114958915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 313",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446216",
            "telephone_number": "410-988-4002",
            "fax_number": "410-988-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 313",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446216",
            "telephone_number": "410-988-4002",
            "fax_number": "410-988-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "SARAH",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "42555",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Kevin Blaik, D.D.S.
• Abigail Blair
• Diane Marie Blair, RN, BSN
• Kimberly Jane Blair, RN, CCM
• Tammie Mae Blair, NP
• Jamar Blakeney
• Amy L Blanch, PT, MSPT
• Jaime Christine Blanchard, IBCLC, LPN
• Lila Blanchard
• Jasmine Jessica Blanco Ventura

• Clinical Social Worker in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.