Melinda Sue Blake, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09928470 Issued in CO

Practice address

2635 N 7TH St
Grand Junction, CO 81501-8209

Phone

(970) 298-2273

NPI assigned

Feb 6, 2019

Last updated

Dec 20, 2023By the provider in NPPES

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

Enrolled in CO

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifespan Psychiatry of ColoradoGroup PAC ID 0749694495, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Lifespan Psychiatry of Colorado

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Junction, CO
  • NPI 1497360838
  Medicare reassignment Care Compare group NPD
• St Mary's Hospital and Medical Center, Inc

  • Hematology & Oncology Physician
  • Grand Junction, CO
  • NPI 1275714081
  Medicare reassignment NPD
• Lifespan Psychiatry of Colorado Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Delta, CO
  • NPI 1134087844
  NPD
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's Anticoagulation Clinic

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1619742806
  NPD
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's Regional Hospital Integrated Addiction Medicine

  • Addiction Medicine (Family Medicine) Physician
  • Grand Junction, CO
  • NPI 1649820481
  NPD
• Lifespan Psychiatry of Colorado

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Junction, CO
  • NPI 1831915958
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1386109098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 N 7TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 N 7TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018209",
            "telephone_number": "970-298-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 28 3/4 Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815015016",
            "country_code": "US",
            "telephone_number": "970-263-4918",
            "fax_number": "970-683-7212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "MELINDA",
        "middle_name": "SUE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Blackford, LPC
• April Rae Blackmer, AG-ACNP
• McKenzie Blackwell
• Misty Blackwell
• Janna R Blagg, CNA
• Nicholas Blanchard, D.O.
• Madison Blaney
• Jim Roland Blankenship, FNP-C
• Laura Blau, PA-C
• Ashly Blincow, RN, FNP-C

• Clinical Social Worker in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.