Otia Blake

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27667 Issued in MD

Practice address

3030 Greenmount Ave Ste 300
Baltimore, MD 21218-6907

Phone

(410) 978-9770

NPI assigned

Dec 18, 2018

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

Other names 1

• Ms. Otia T Blake Professional name

Medicare fee-for-service enrollment

Enrolled in MD

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, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Sinnai Behavioral Health Services IncGroup PAC ID 5890235691, 3 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 and National Provider Directory roles.

• Sinnai Behavioral Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1588229744
  Medicare reassignment Care Compare group NPD
• Optimistic Hope Therapeutic Services LLC

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1922819002
  NPD Authorized official
• Money Talks Baltimore, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1588107296
  NPD (past)

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1669944575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 FREETOWN RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608207",
            "telephone_number": "410-978-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 GREENMOUNT AVE STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186907",
            "telephone_number": "410-978-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "OTIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OTIA",
            "last_name": "BLAKE",
            "middle_name": "T",
            "prefix": "MS.",
            "credential": "MSW, LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeanine Marie-Byrne Blake, LCSW-C
• King Blake, L.C.P.C.
• Margaret Ann Blake, RN MSN CRNP
• Nicole Blake
• Nicole Marie Blake, DPT
• Paris M Blake
• Jaishri O'Neill Blakeley, MD
• Allison Blakely, RN BSN
• Briana Danielle Blakely
• Maurice Welborn Blakely, D.D.S.

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, 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 Oct 18, 2024; 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.