Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1457461246 Deactivated / Inactive NPI Female Practitioner

Terri Lynn Blake , LCSW

Social Worker • Indianapolis, IN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Terri Blake has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2006
NPI Deactivation Date March 20, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Terri Blake, LCSW was a registered Social Worker practicing in Indianapolis, IN. Throughout an active medical career spanning 19 years, Terri Blake provided care at the practice location at 815 MAIN ST until profile deactivation on 2025-03-20.

Practice Location & Contact Primary Location

Practice Address

815 Main St

Indianapolis, IN 462201712

Telephone 3172558973
Fax 3172020750

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
460 Specialists

Practicing in Indianapolis, IN (2058 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IN 34000829A

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Pamela Wampler , LMFT

Marriage & Family Therapist

NPI 1104043256

Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated March 20, 2025

Record deactivated on March 20, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 815 MAIN ST, INDIANAPOLIS, IN 462201712 (Tel: 3172558973)

📍
Updated Business Mailing Address July 08, 2007

Registered at 815 MAIN ST, INDIANAPOLIS, IN 462201712 (Tel: 3172558973)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TERRI BLAKE, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #34000829A in IN)

🟢
Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Terri Blake. Be the first to share your experience!

Sign in to leave a review for Terri Blake

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1457461246
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: July 08, 2007
Deactivation Date: March 20, 2025

Mailing Address

815 Main St

Indianapolis, IN 462201712

Phone: 3172558973

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.