Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN LARON BLAKE, LCSW
Active Sole ProprietorJUSTIN LARON BLAKE, LCSW is a Clinical Social Worker healthcare provider located in ELLENWOOD, Georgia. NPI 1932821956 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ELLENWOOD, GA
Registration Details
- NPI Number
- 1932821956
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2022 (3.8820615112039 yrs)
- Last Updated
- Sep 15, 2022
- Licenses
-
CSW007974 (GA)SW17317 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2393 BOULDER CHASE DRELLENWOOD, GA, 302941687Browse GA providers · Browse ZIP 30294
- Phone
- 3059727007
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in ELLENWOOD, GA
| Name | Credential | NPI |
|---|---|---|
| MS. ALIEIZORIA REDD | LCSW | 1417973199 |
| MRS. DARNYCE HOUSE HILL | LCSW | 1902979677 |
| LOUANNA ADAMS | LCSW | 1033590658 |
| SANDRA SANDERS | LCSW | 1972971752 |
| CHARLENE TURNER | LCSW | 1861862393 |
| DR. RASHA KAMIL PORTIS | LCSW | 1336705177 |
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.