Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JONATHAN T BLAKE, LSW
Active Sole ProprietorMR. JONATHAN T BLAKE, LSW is a Social Worker healthcare provider located in OLYPHANT, Pennsylvania. NPI 1154108439 is currently active in the NPPES registry. Verify at CMS.
Social Worker · OLYPHANT, PA
Registration Details
- NPI Number
- 1154108439
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2023 (2.9174469963437 yrs)
- Last Updated
- Sep 11, 2023
- License
-
SW137924 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
126 WILLOW AVEOLYPHANT, PA, 184471442Browse PA providers · Browse ZIP 18447
- Phone
- 5703828157
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in OLYPHANT, PA
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH ZINKLE ELIZABETH ZINKLE | — | 1538029467 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.