Blake, Elaine Travers

Blake, Elaine Travers is an sole proprietor health care provider with primary practice located at 16 Highland Ave , Somerville MA 02143-1933. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Blake, Elaine Travers can be contacted via phone (617) 623-5277.

Contact Information

Primary practice address
16 Highland Ave Somerville MA 02143-1933
Phone: (617) 623-5277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 669 Massachusetts

Profile Details

NPI number 1033759006
LBN Legal business name Blake, Elaine Travers
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2020
Last updated Jan 8th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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