Jonathan T. Blake, LSW

Social Worker · Olyphant, PA

Individual Active NPI

NPI number 1154108439

Practice location

126 Willow Ave
Olyphant, PA 18447-1442
Phone
(570) 382-8157

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NPI record

NPI
1154108439
Entity type
Individual (Type 1)
Enumeration date
September 11, 2023
Last updated
September 11, 2023
Certified
September 11, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X SW137924 PA

Mailing address

127 Church St
Dunmore, PA 18512-1907
Phone
(570) 878-5008

About Jonathan Blake

Jonathan T. Blake, LSW is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 126 Willow Ave, Olyphant, PA 18447-1442. The NPI number 1154108439 was assigned on September 11, 2023 and the record was last updated on September 11, 2023.

Jonathan Blake lists a license in the registry: #SW137924 (PA) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan T. Blake, LSW?

The NPI number is 1154108439.

What is the phone number of Jonathan Blake?

The phone number listed for the practice location is (570) 382-8157.

Where is Jonathan Blake located?

126 Willow Ave, Olyphant, PA 18447-1442.

What is the taxonomy code for Jonathan Blake?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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