MRS. JESSICA BLAKE (NPI# 1013142991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013142991 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA BLAKE |
| Credential | LISW |
| Practice Address |
3100 E Ave Nw Suite 101 Cedar Rapids IA 52405-2962 |
| Practice Telephone | 3193961066 |
| Mailing Telephone | 3193961066 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
06700 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898887 | Jessica Rose Blake | Physical Therapist | Usahc Vicenza, Apo, AE 09630 | 2019-12-17 |
| 1770057085 | Jessica Blake | Dietitian, Registered | 26905 Ne Virginia St, Duvall, WA 98019-8473 | 2019-01-20 |
| 1821501602 | Jessica Blake | Speech-Language Pathologist | 9000 College St, Collinsville, IL 62234-1701 | 2017-11-15 |
| 1346322898 | Jessica Michelle Blake | Marriage & Family Therapist | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2006-10-20 |
| 1609406446 | Jessica Anne Blake | Nurse Practitioner | 11949 Q St, Omaha, NE 68137-3503 | 2020-01-21 |
| 1932576709 | Jessica Blake | Occupational Therapy Assistant | 339 E Maple St, North Canton, OH 44720-2593 | 2015-08-28 |
| 1477955755 | Jessica Blake | Registered Nurse | 15101 Glenwood Ave, Stanley, KS 66223 | 2014-09-18 |
| 1699940221 | Jessica Nicole Blake | Speech-Language Pathologist | 19670 State Road 120, Bristol, IN 46507-9131 | 2008-04-24 |
| 1033394226 | Jessica Ann Banet Blake | Nurse Practitioner | 200 Abraham Flexner Way, Louisville, KY 40202-1886 | 2008-01-07 |
| Street Address |
3100 E AVE NW SUITE 101 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52405-2962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013918051 | Carol Ogea | Social Worker | 3100 E Ave Nw, Ste 101, Cedar Rapids, IA 52405 | 2005-08-01 |
| 1225655913 | Tonya Boots | Counselor | 3100 E Ave Nw, Cedar Rapids, IA 52405-2962 | 2020-06-29 |
| 1235649476 | Erin Michelle Thiemann | Counselor | 3100 E Ave Nw, Cedar Rapids, IA 52405-2962 | 2017-10-02 |
| 1710422761 | Sarah Kosiba | Marriage & Family Therapist | 3100 E Ave Nw, Cedar Rapids, IA 52405-2962 | 2016-12-29 |
| 1124419197 | Nicole Brighton | Marriage & Family Therapist | 3100 E Ave Nw, Cedar Rapids, IA 52405-2962 | 2015-02-12 |
| 1578963377 | Heart and Solutions | Community/Behavioral Health | 3100 E Ave Nw, Suite 102, Cedar Rapids, IA 52405-2962 | 2014-08-28 |
| 1154495547 | Patricia Bowen | Social Worker | 3100 E Ave Nw, Cedar Rapids, IA 52405-2962 | 2006-11-20 |
| 1225020092 | Karen Penick | Social Worker | 3100 E Ave Nw, Ste 101, Cedar Rapids, IA 52405 | 2005-08-18 |
| 1144221490 | Trina Reiter | Social Worker | 3100 E Ave Nw, Suite 101, Cedar Rapids, IA 52405-2962 | 2005-08-09 |
| 1962403220 | Edgar J Siguenza | Social Worker | 3100 E Ave Nw, Ste 101, Cedar Rapids, IA 52405-2962 | 2005-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104316108 | Family Foot Care Clinic, PC | Podiatrist | 3200 F Avenue Nw, Cedar Rapids, IA 52405 | 2018-05-15 |
| 1497202923 | Mary Frances Schmidt-luhring | Counselor | 3100 E Ave Nw, Suite 105, Heart and Solutions, LLC, Cedar Rapids, IA 52405 | 2016-09-01 |
| 1013298116 | Daniel Hernandez | Non-emergency Medical Transport (VAN) | 408 Day St Northwest, Cedar Rapids, IA 52405 | 2011-09-01 |
| 1528374758 | Matthew Lorenzo Vasquez | Social Worker | 3113 1st Ave Nw, Cedar Rapid, IA 52405 | 2010-08-25 |
| 1770643470 | Douglas P Dvorak | Chiropractor | 1427 6th St Nw, Cedar Rapids, IA 52405 | 2006-12-11 |
| 1144396326 | West Ridge Associates Inc | Skilled Nursing Facility | 3131 F Ave Nw, Cedar Rapids, IA 52405 | 2006-11-28 |
| 1134120405 | Toni Neta | Social Worker | 3100 E Avenue Nw, Suite 101, Cedar Rapids, IA 52405 | 2005-08-09 |
| 1043678717 | Nancy Muir | Social Worker | 520 11th St Nw, Abbe Center for Community Mental Health, Cedar Rapids, IA 52405 | 2016-02-09 |
| 1215257019 | Katie Moon | Counselor | 520 11th St Nw, Abbe Center Community Mental Health, Cedar Rapids, IA 52405 | 2010-06-03 |
| 1275617854 | Kristen Jean Wagaman | Nurse Practitioner | 75 Short St Nw, Cedar Rapids, IA 52405 | 2006-10-24 |
| Find all providers in zip 52405 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281444 | Cedar Vista Counseling, LLC | Social Worker | 1231 Park Pl Ne Ste L1, Cedar Rapids, IA 52402-2013 | 2020-10-06 |
| 1013529114 | Keli Hagen Lisw, Pllc | Social Worker | 4403 1st Ave Se Ste 412, Cedar Rapids, IA 52402-3221 | 2020-08-19 |
| 1922628999 | King Therapy Services, LLC | Social Worker | 373 Collins Rd Ne Ste 203, Cedar Rapids, IA 52402-3167 | 2020-04-20 |
| 1609345446 | Dana Suzette Anderson | Social Worker | 600 7th St Se Ste 101, Cedar Rapids, IA 52401-2125 | 2018-11-23 |
| 1689180598 | Johnson Counseling Services, LLC | Social Worker | 4403 1st Ave Se Ste 314, Cedar Rapids, IA 52402-3221 | 2017-12-15 |
| 1538688213 | Katie Johnson | Social Worker | 700 16th St Ne Ste 205, Cedar Rapids, IA 52402-4665 | 2017-09-14 |
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1992246409 | Victoria Rose Isenhour | Social Worker | 222 3rd St Se Ste 322, Cedar Rapids, IA 52401-1508 | 2017-03-16 |
| 1639565393 | Alicia Gerber | Social Worker | 1221 Park Pl Ne Ste G1, Cedar Rapids, IA 52402-2019 | 2015-04-09 |
| 1053750778 | Krp Therapy | Social Worker | 1206 Staub Ct Ne, Cedar Rapids, IA 52402-4029 | 2013-06-15 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.