NPPES file of Aug 9, 2026

Amanda Marie Blake, LICSW, MSSW

Clinical Social Worker · Grand Forks, ND

Amanda Marie Blake, LICSW, MSSW is a clinical social worker with a practice address in Grand Forks, North Dakota, and NPI 1174773469, issued on Sep 24, 2008. Check the license (North Dakota 4753, as entered in NPPES) with the North Dakota board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1174773469
Name
Amanda Marie Blake
Credential
LICSW, MSSW
Primary taxonomy
Clinical Social Worker 1041C0700X
License numbers
4753 ND
50864 TX
Self-reported in NPPES; status is on the state search
Practice location
2808 17TH Ave S, Grand Forks, ND 58201
Phone
(701) 738-8363
Enumerated
Sep 24, 2008
Record last updated
Oct 31, 2022
Medicaid ID
1464225 ND
Medicare enrollment
Enrolled (PECOS I20171010002901); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2808 17TH Ave S

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Helen Achilleoudes, PSY.D.Clinical Neuropsychologist1912335852
  2. John Campbell, PH.D., LPPsychologist1407344328
  3. Kenneth Carlson, PH.D.Clinical Psychologist1205866472
  4. Katherine Dusenbury, LICSWClinical Social Worker1720150642
  5. Sheryl Holter Vogel, PH.D.Psychologist1811516586
  6. Brenda King, PH.D.Clinical Psychologist1598799892

Verify Amanda Marie Blake in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich North Dakota board licenses this profession
    Search for license 4753    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the North Dakota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Lipp Carlson Witucki And Associates LtdGrand Forks, ND

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

117 clinical social worker records list a practice address in Grand Forks

They are 117 of the 2,524 NPPES records with a practice address in Grand Forks, and 566 clinical social worker records in North Dakota.

All 117 in Grand Forks → All 566 in North Dakota → Every provider in Grand Forks →

Other clinical social worker records in North Dakota

  1. Deborah Abbey, LICSWFargo, ND1891898417
  2. Maleah AbelMinot, ND1407727142
  3. Jacqueline Adams-Hove, LCSWFargo, ND1962869909
  4. Michelle AdlerGrand Forks, ND1902639438
  5. Brittany AlexanderFargo, ND1003671694
  6. Hayley Alkhafaji, LMSW-CMinot, ND1174174254
  7. Brittny Allard, LMSWWilliston, ND1790597177
  8. Jasmine Allen, LMSWGrand Forks, ND1508587411
  9. Corelle Allery, LMSWBelcourt, ND1225562531
  10. Bailey Alvarez, LCSWGrand Forks, ND1912444936

Common questions

What is Amanda Marie Blake, LICSW, MSSW's NPI number?

Amanda Marie Blake, LICSW, MSSW's National Provider Identifier (NPI) is 1174773469, issued on Sep 24, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Amanda Marie Blake, LICSW, MSSW located?

The NPPES record lists a practice address at 2808 17TH Ave S, Grand Forks, ND, 58201. Phone: (701) 738-8363. Providers update this record themselves, so call before visiting.

How can I verify Amanda Marie Blake, LICSW, MSSW's license?

NPPES lists North Dakota license number 4753, as entered by the provider. Search the North Dakota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.