Blake Macko, MSS
Social Worker, Clinical in Philadelphia, PA. Individual provider (NPI-1).
NPI number1073408183
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1073408183
- Entity type
- Individual (NPI-1)
- Name
- Blake Macko
- Credential
- MSS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2025
- Certification date
- Jun 10, 2025
- Last updated
- Jun 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
123 Chestnut St Ste 304Philadelphia, PA 19106-3059
Phone 215-399-4128
Mailing address
4112 Grace Virginia CtAllentown, PA 18104-5503
Phone 484-553-0422
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