JASON JOSEF BLAKE LCSW, NPI 1780730101
Social Worker in LOVES PARK, IL
Last Updated on : Jul 08,2007
About JASON JOSEF BLAKE (NPI 1780730101)
JASON JOSEF BLAKE is a Social Worker provider in LOVES PARK, United States. His medical specialization is Social Worker with a focus in Clinical.
1780730101 is NPI number of JASON JOSEF BLAKE.
JASON JOSEF BLAKE's primary taxonomy code based on NPI Lookup is 1041C0700X with license number 149.010637. This taxonomy code refers to Social Worker.
JASON JOSEF BLAKE has more than 15 years of experience.
JASON JOSEF BLAKE current practice location address is 7124 WINDSOR LAKE PKWY, LOVES PARK, IL. JASON JOSEF BLAKE can be reached out via phone at 815-988-3142 .
You can also correspond with JASON JOSEF BLAKE through mail at mailing address 7124 WINDSOR LAKE PKWY, LOVES PARK, IL, United States. Mailing address contact number is 815-988-3142.
The enumeration date of JASON JOSEF BLAKE is 26-Jan-2007. The provider is registered as an Individual and the NPI record was last updated 16 years ago.1780730101 NPI Information
Basic NPI information of JASON JOSEF BLAKE (NPI 1780730101) is provided below.
| Name | JASON JOSEF BLAKE |
|---|---|
| National Provider Id (NPI) | 1780730101 |
| Entity Type | Individual |
| Gender | M |
| Credential | LCSW |
| Practice Address | 7124 WINDSOR LAKE PKWY,
SUITE # 10
LOVES PARK, IL, United States |
| Practice Telephone | 815-988-3142 |
| Practice Fax Number | |
| Mailing Address | 7124 WINDSOR LAKE PKWY ,
SUITE # 10
LOVES PARK, IL, United States |
| Mailing Telephone | 815-988-3142 |
| Mailing Fax Number | |
| Enumeration Date | 26-Jan-2007 |
| Last Updated Date | 08-Jul-2007 |
JASON JOSEF BLAKE (NPI 1780730101) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Social Worker, Clinical | 149.010637 | IL |
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
JASON JOSEF BLAKE (NPI 1780730101) Office Location
Office location of JASON JOSEF BLAKE is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1780734061 | COLE VISION CORPORATION | Eyewear Supplier (Equipment, not the service) | 1515 E RIVERSIDE BLVD,
LOVES PARK, IL, United States |
11-Jan-2007 |
| 1811292360 | DENVER URGENT CARE LLC | Clinic/Center, Urgent Care | PO BOX 15430,
LOVES PARK, IL, United States |
13-Jan-2011 |
| 1023582020 | URGENT CARE MEDICAL CENTER LLC | Clinic/Center, Urgent Care | PO BOX 2436,
LOVES PARK, IL, United States |
14-Jan-2019 |
| 1184775264 | JUSTIN TODD RAMZA | Anesthesiology | 4140 OLD GOLF RD,
LOVES PARK, IL, United States |
15-Jan-2007 |
| 1528305174 | SHANNON M KEY | Counselor, Professional | 814 MERRILL AVE,
LOVES PARK, IL, United States |
15-Jan-2013 |
| 1184775207 | VICTORIA M. HOMINICK | Social Worker, Clinical | 7124 WINDSOR LAKE PKWY,
SUITE 17 LOVES PARK, IL, United States |
16-Jan-2007 |
| 1558341933 | L ROBERT WARREN | Family Medicine | PO BOX 15840,
LOVES PARK, IL, United States |
20-Jan-2006 |
| 1033199054 | JACK RODRIQUEZ | Psychiatry & Neurology, Psychiatry | PO BOX 15105,
LOVES PARK, IL, United States |
17-Jan-2006 |
| 1881674299 | DAVID LAIB | Pathology, Anatomic Pathology & Clinical Pathology | PO BOX 15258,
LOVES PARK, IL, United States |
20-Jan-2006 |
| 1326028143 | KEVIN M. BURNS | Physician Assistant, Medical | 7402 E RIVERSIDE BLVD,
LOVES PARK, IL, United States |
18-Jan-2006 |
| 1902878358 | EDWARD YAVITZ | Ophthalmology | 4105 NORTH PERRYVILLE RD,
LOVES PARK, IL, United States |
01-Feb-2006 |
| 1184778755 | SCOTT A MEYERS | Pharmacist | 7957 BRIXHAM RD,
ROCKFORD, IL, United States |
22-Jan-2007 |
| 1720132723 | PATRICIA M WEGNER | Pharmacist | 1117 HOLLY CT,
NAPERVILLE, IL, United States |
23-Jan-2007 |
| 1124173844 | EAST BANK CENTER LLC | Skilled Nursing Facility | 12040 RAYMOND CT,
HUNTLEY, IL, United States |
24-Jan-2007 |
| 1598060485 | MELISSA PALUZZI | Mechanotherapist | 6270 E RIVERSIDE BLVD,
LOVES PARK, IL, United States |
24-Jan-2011 |
| 1174678346 | VICKI JOHNSON | Midwife | 6092 TORCH LITE TRL,
LOVES PARK, IL, United States |
25-Jan-2007 |
| 1780730101 | JASON JOSEF BLAKE | Social Worker, Clinical | 7124 WINDSOR LAKE PKWY,
SUITE # 10 LOVES PARK, IL, United States |
26-Jan-2007 |
| 1013454057 | LAURA CARROLL | Physical Therapist | 7344 MABELS WAY,
LOVES PARK, IL, United States |
29-Jan-2017 |
| 1457323628 | ROGER HILBERT | Pathology, Anatomic Pathology & Clinical Pathology | PO BOX 15785,
LOVES PARK, IL, United States |
02-Feb-2006 |
| 1972575157 | SARA FLEMING | Pathology, Anatomic Pathology & Clinical Pathology | PO BOX 15785,
LOVES PARK, IL, United States |
02-Feb-2006 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1780730101?1780730101 is the NPI number of JASON JOSEF BLAKE.
What is the specialty for JASON JOSEF BLAKE?The Specialty of JASON JOSEF BLAKE is Social Worker.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|