Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA JOLENE BLAKE
Active Sole ProprietorLISA JOLENE BLAKE is a Clinical Social Worker healthcare provider located in RIVERDALE, Utah. NPI 1376177584 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · RIVERDALE, UT
Registration Details
- NPI Number
- 1376177584
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 26, 2020 (6.4429886969828 yrs)
- Last Updated
- Mar 5, 2023
- License
-
6306212-3501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4933 S 1500 W STE 200RIVERDALE, UT, 844057738Browse UT providers · Browse ZIP 84405
- Phone
- 3854271072
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in RIVERDALE, UT
| Name | Credential | NPI |
|---|---|---|
| MR. B. SHANE HARMON | LCSW | 1700882172 |
| LEE LEGRAND PERRY | LCSW | 1760588818 |
| SHAYLYNN LAMBERT | LCSW/BCABA | 1346505377 |
| CASSANDRA LOPIANO | LCSW | 1497131783 |
| DESIE MARIE LOVERIDGE | — | 1306365002 |
| ALISSA SWENSON | LCSW, EMDR | 1720579501 |
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.