Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE BLAKE, LCSW
Active Sole ProprietorJACQUELINE BLAKE, LCSW is a Clinical Social Worker healthcare provider located in FAIRFAX, Virginia. NPI 1902282684 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FAIRFAX, VA
Registration Details
- NPI Number
- 1902282684
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2015 (11.011708842224 yrs)
- Last Updated
- Aug 5, 2015
- License
-
0904009033 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8221 WILLOW OAKS CORPORATE DR2-217E.01FAIRFAX, VA, 220314512Browse VA providers · Browse ZIP 22031
- Phone
- 7032076976
- Fax
- 7036537008
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| MS. CHARLOTTE SOFIA JOELSSON | L.C.S.W. | 1841283280 |
| MS. ELIZABETH WEEKS MUSIL | LCSW DCSW | 1184619322 |
| MRS. REBECCA LYNN PUCHY | L.C.S.W. | 1134119159 |
| MRS. LORRIE RUBIN APPLETON | M.S.W. | 1295725737 |
| MRS. TRESA ANNE SCOTT | LCSW-C | 1346230778 |
| KATIE R. EUSTICE | LMSW-CC, CADC | 1093797060 |
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.