IndividualActive
Anthonette Blake
NPI 1891200432 · Clinical Social Worker · Ashtabula, OH
Provider details
- NPI number
- 1891200432
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
2801 C Ct
Ashtabula, OH 44004-4577
Phone: (440) 998-4210
Fax: (440) 228-2414
Approximate (ZIP-level) locationGet directions
Mailing address
2801 C Ct
Ashtabula, OH 44004-4577
Registry dates
- Enumerated
- 2017-12-05
- Last updated
- 2024-01-03
- Certified
- 2024-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.