JENNIFER E BLAKE


Address: 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519
Phone: 9547311000

JENNIFER E BLAKE (NPI# 1114552585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114552585
Entity Type Individual
Full Name JENNIFER E BLAKE
Practice Address 2900 W Prospect Rd
Fort Lauderdale
FL 33309-2519
Mailing Address 4740 N State Road 7
Lauderdale Lakes
FL 33319-5839
Practice Telephone 9547311000
Mailing Telephone 9544864005
Enumeration Date 2020-03-06
Last Update Date 2020-03-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers JENNIFER BLAKE

NPI Name Taxonomy Address Enumeration
1629623574 Jennifer Ann Blake Social Worker 5000 S 5th Ave Bldg 200, Hines, IL 60141-3030 2019-08-07
1508198078 Jennifer Lynn Blake Speech-Language Pathologist 3161 Sw 50th St, Ft. Lauderdale, FL 33312 2010-02-08
1972620110 Jennifer Kay Blake Counselor 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR 97401-5015 2007-03-23
1497245708 Jennifer Christina Blake Student in an Organized Health Care Education/Training Program 6410 Fannin St Ste 1400, Houston, TX 77030-5389 2018-05-11
1023535739 Jennifer K Blake Physical Therapist 594 Broadway, New York, NY 10012-3233 2017-08-23
1942641550 Jennifer Blake Occupational Therapist 2501 Downing St Sw, Wilson, NC 27893-4517 2013-07-11
1457649204 Jennifer L Blake Counselor 11630 Se 40th Ave, Suite A, Milwaukie, OR 97222-6195 2011-07-14
1982998282 Jennifer Lynn Blake Physical Therapist 506 Plain St, Suite 101, Marshfield, MA 02050-2744 2011-06-03
1598073835 Jennifer Marie Blake Registered Nurse 601 E 15th St, Austin, TX 78701-1930 2010-09-21
1891952370 Jennifer Marie Blake Pediatrics 3901 Beaubien St, Childrens Hospital of Mi 4th Fl, Detroit, MI 48201-2119 2008-05-21

Office Location

Street Address 2900 W PROSPECT RD
City FORT LAUDERDALE
State FL
Zip Code 33309-2519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922099290 Maria A Gorelick Specialist 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 2005-11-04
1871118463 Kimberly L Allison Social Worker 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 2020-06-10
1124660352 Sarah Burton Counselor 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 2019-10-09
1528560307 Adrianna N Brown Social Worker 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 2018-03-07
1487154746 Michelle Rose-marie Desarmes Nurse Practitioner 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 2018-02-13
1902319700 Gulay Ozcan Counselor 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 2017-11-15
1447796610 Lissety Aguirre-fallon Counselor 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 2017-01-12
1942744701 Luciangeli Flores Case Manager/Care Coordinator 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 2016-12-14
1235672445 Stacy F Riley Counselor 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 2016-11-21
1205289188 Christopher Douglas Counselor 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 2016-07-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942841507 Integrity Home Care Plus LLC In Home Supportive Care 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 2019-10-04
1518519875 Jordanna Bettencourt Behavior Technician 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 2019-07-16
1114579752 Jewel Porter Behavior Technician 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 2019-07-14
1003318049 Tri County Pet LLC Clinic/Center 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 2018-03-06
1821508722 Rose Marie Cecile Dyer Home Health Aide 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 2017-10-05
1245756790 Kattys Elena Mendoza Behavior Technician 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 2017-08-16
1669902847 Sharon Desir Social Worker 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 2017-06-19
1184158503 Rebecca Robin Washington Behavioral Analyst 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 2017-04-12
1124564281 Alloy Behavioral Health Solutions, Inc Specialist 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 2017-01-13
1740738855 Christina Camarena Behavior Technician 6414 Nw 5th Way, Fort Lauderdale, FL 33309 2016-09-18
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033678834 Adaptive Connection Consultants Social Worker 333 Las Olas Way Apt 441, Fort Lauderdale, FL 33301-2374 2019-03-19
1538687975 Johanna Courts Social Worker 3090 Nw 7th St, Fort Lauderdale, FL 33311-7612 2017-09-06
1255700449 Kristen Vanderlely Social Worker 1609 Sw 13th Ct, Fort Lauderdale, FL 33312-4147 2015-09-18
1053721027 Felice D. Fusca Social Worker 1208 Ne 17 Av, Fort Lauderdale, FL 33304 2014-04-30
1518386622 Marie Jacques Louis Social Worker 920 Nw 2 Ave, Fort Lauderdale, FL 33311 2014-04-16
1083995393 Andrew Jeffrey Altmann Social Worker 2900 W Cypress Creek Rd Ste 3, Fort Lauderdale, FL 33309-1715 2011-08-31
1366756835 Sandra Marie Lazarre Social Worker 5220 Sw 30th Ave, Fort Lauderdale, FL 33312-6907 2010-07-27
1770805723 Salvatore Adriano Dimarco Social Worker 4928 Leeward Ln, Fort Lauderdale, FL 33312-5222 2010-02-18
1740412139 Jeannette Ferreira Social Worker 1401south Federal Highway, Fort Lauderdale, FL 33317 2009-08-18
1740325547 Jorge Perera Social Worker 1101 W. Broward Blvd., Fort Lauderdale, FL 33312 2007-02-20
Find all providers in FORT LAUDERDALE

Competitor

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City FORT LAUDERDALE
Zip Code 33309

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Dataset Information

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.

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