DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALEX BLAKE LCSW

MEDICARE: ALEX BLAKE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker135612CA
2101YM0800XMental Health Counselor
3390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101536011OTHERCAMEDICAL

General Provider Information

NPI Number : 1063182020
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX BLAKE LCSW
Provider Business Mailing Address
First Line : 1625 SCHRADER BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-6213
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1625 SCHRADER BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-6213
Country : US
Telephone Number : 323-993-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2021
Last Update Date : 02/13/2026

Similar Medicare Providers

1740285105 — DR. JAMES D SCOTT PHARM.D.
Practice Location Address:
1625 SCHRADER BLVD , FL 3
LOS ANGELES, CA
90028-6213
Practice Phone: 323-993-7532
Practice Fax: 323-308-4447
1386643831 — DR. ROBERT KEY BOLAN M.D.
Practice Location Address:
1625 SCHRADER BLVD , 3RD FLOOR
LOS ANGELES, CA
90028-6213
Practice Phone: 323-993-7500
Practice Fax: 323-308-4015
1770582231 — CYNTHIA HARRISON F.N.P, R.N.
Practice Location Address:
1625 SCHRADER BLVD
LOS ANGELES, CA
90028-6213
Practice Phone: 323-993-7500
Practice Fax: 323-308-4015
1396744850 — MICHAEL JASON HALL M.D.
Practice Location Address:
1625 SCHRADER BLVD
LOS ANGELES, CA
90028-6213
Practice Phone: 323-993-7500
Practice Fax: 323-308-4015
1285633776 — SHARON NESSELLE M.F.T.
Practice Location Address:
1625 SCHRADER BLVD , 4TH FLOOR
LOS ANGELES, CA
90028-6213
Practice Phone: 323-993-7500
Practice Fax: 323-308-4015
1326047812 — JOAN L. LAVICK M.F.T.
Practice Location Address:
1625 SCHRADER BLVD , 4TH FLOOR
LOS ANGELES, CA
90028-6213
Practice Phone: 323-993-7500
Practice Fax: 323-308-4015

Directions to “ ALEX BLAKE LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.