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).
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 |
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 |
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 |
Street Address |
2900 W PROSPECT RD |
City | FORT LAUDERDALE |
State | FL |
Zip Code | 33309-2519 |
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 |
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 |
Find all providers in zip 33309 |
Taxonomy Code | 104100000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
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] |
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 |
City | FORT LAUDERDALE |
Zip Code | 33309 |
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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.