Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON JOSEF BLAKE, LCSW
Active Sole ProprietorJASON JOSEF BLAKE, LCSW is a Clinical Social Worker healthcare provider located in LOVES PARK, Illinois. NPI 1780730101 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LOVES PARK, IL
Registration Details
- NPI Number
- 1780730101
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2007 (19.527600346785 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
7124 WINDSOR LAKE PKWYSUITE # 10LOVES PARK, IL, 611113800Browse IL providers · Browse ZIP 61111
- Phone
- 8159883142
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in LOVES PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MARY NAUGLE | LCPC, LCSW | 1881639292 |
| VICTORIA M. HOMINICK | LCSW | 1184775207 |
| BRUCE PERSON | LCSW | 1629341219 |
| CHRISTINA MORRIS | LCSW | 1285987776 |
| TARA WHITE | LCSW | 1194111567 |
| KIRSTEN AHLBERG | — | 1184096760 |
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.