Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LARRY M. ALI BLAKE JR., LCSW

Active Sole Proprietor

MR. LARRY M. ALI BLAKE JR., LCSW is a Clinical Social Worker healthcare provider located in JERSEY CITY, New Jersey. NPI 1720239726 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · JERSEY CITY, NJ

Registration Details

NPI Number: 1720239726
Provider Type: Individual
Gender: Male
NPI Issued: Oct 8, 2008 (17.667944218737 yrs)
Last Updated: Oct 8, 2008
License: 44SC00522800 (NJ)
Sole Proprietor: Yes

Practice Information

Address: 75 HARRISON AVE

FIRST FLOOR

JERSEY CITY, NJ, 073042555
Browse NJ providers · Browse ZIP 07304
Phone: 2014515425
Fax: 2014517499
Primary Specialty: Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in JERSEY CITY, NJ

Name	Credential	NPI
MS. TRACIE MEYERS	MSW	1316971914
DR. EILEEN A. EPSTEIN	PH.D., LCSW	1447364575
DR. JAMES JOSEPH MC CREATH	MSW	1457432965
MRS. ANA M MESEGUER	LCSW	1114097185
MR. PETER HERBST	MSW, LCSW	1952465593
MS. JESSICA DISLA	LCSW	1295891927

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.