Ashley Blake, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2017015304 Issued in MO

Practice address

7750 Clayton Rd Ste 300
Richmond Heights, MO 63117-1341

Phone

(314) 485-7344

NPI assigned

Sep 29, 2014

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1750784203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 CLAYTON RD STE 300",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171341",
            "telephone_number": "314-485-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 CLAYTON RD STE 300",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171341",
            "telephone_number": "314-485-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016082",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017015304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Edward Bereda, D.O.
• Beyond the Threshold Counseling LLC
• Linda Bick, M.D.
• Merissa Billhartz
• Mazda Biria, M.D.
• Rebecca Boedeker, RN
• Patrick Boylan, DC
• Boys Hope Girls Hope of St. Louis, Inc.
• Sean M Breit, M.D.
• Nelver Jean Brooks, EDD

• Clinical Social Worker in Richmond Heights, MO
• Providers in Richmond Heights, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.