Elaine Travers Blake, LCSW - Counselor in Somerville, MA

Elaine Travers Blake, LCSW is a Counselor - Addiction (substance Use Disorder) based in Somerville, Massachusetts. Elaine Travers Blake is licensed to practice in Massachusetts (license number 669) and her current practice location is 16 Highland Ave, Somerville, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (617) 623-5277.

NPI number for Elaine Travers Blake is 1033759006 and her current mailing address is 16 Highland Ave, Somerville, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033759006.

Contact Information

Elaine Travers Blake, LCSW
16 Highland Ave,
Somerville, MA 02143-1933
(617) 623-5277
Not Available

Healthcare Provider's Profile

Full NameElaine Travers Blake
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location16 Highland Ave, Somerville, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033759006
  • Provider Enumeration Date: 01/08/2020
  • Last Update Date: 01/08/2020

Medical Identifiers

Medical identifiers for Elaine Travers Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033759006NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 669 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elaine Travers Blake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elaine Travers Blake, LCSW
16 Highland Ave,
Somerville, MA 02143-1933

Ph: (617) 623-5277
Elaine Travers Blake, LCSW
16 Highland Ave,
Somerville, MA 02143-1933

Ph: (617) 623-5277

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Counselor in Somerville, MA

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