MELINDA SUE BLAKE (MSW) – Clinical Social Worker, NPI 1386109098

MELINDA SUE BLAKE (MSW) is a healthcare provider. based in Grand junction, Colorado. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. CSW.09928470 (CO). The NPI Number for MELINDA SUE BLAKE (MSW) is 1386109098

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MELINDA SUE BLAKE (MSW)
NPI
1386109098
Phone
Not provided
Address
715 HORIZON DR STE 225
Enumeration Date
6 February 2019
Last Update Date
20 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9705790003
Graduation Year
2022 (4 years ago)
PAC ID
7517301617
Group Practice PAC ID
0749694495
Professional Enrollment ID
I20240216001595
Address ID
CO815012916GR2140XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,884 CLINICAL SOCIAL WORKER in CO

Provider Addresses for MELINDA SUE BLAKE (MSW)

  • 715 HORIZON DR STE 225

    GRAND JUNCTION, CO 815068743

    Phone:

    Type: Mailing

  • 515 28 3/4 Rd

    Grand Junction, CO 815015016

    Phone: (970) 263-4918

    Fax: (970) 683-7212

    Type: Location

  • 515, 28 3/4 Road, Grand Junction, Mesa County, Colorado, 81501, United States

    GRAND JUNCTION, CO 815015016

    Phone: (970) 263-4918

    Fax: (970) 683-7212

    Type: Location

  • 2635 N 7TH ST

    GRAND JUNCTION, CO 815018209

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240216001595IClinical Social WorkerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749694495View full group profile
NameSpecialtyState
Nurse PractitionerCO
Mental Health CounselorCO
Nurse PractitionerCO
Mental Health CounselorCO
Mental Health CounselorCO
Marriage And Family TherapistCO
Nurse PractitionerCO
Mental Health CounselorCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

What unique ID ties claims to MELINDA SUE BLAKE (MSW)?
NPI 1386109098 is assigned to MELINDA SUE BLAKE (MSW) under the national enumeration system.
Is MELINDA SUE BLAKE (MSW) active in the national directory?
MELINDA SUE BLAKE (MSW)'s public NPI profile is in an active state.
Does MELINDA SUE BLAKE (MSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MELINDA SUE BLAKE (MSW). Clinical services aligned with this taxonomy classification.
Where is MELINDA SUE BLAKE (MSW)'s primary listing?
We display Grand Junction, Colorado because that is what the record indicates for MELINDA SUE BLAKE (MSW).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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