BLAKE QUINTON JOHNSON (NPI# 1275075269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275075269 |
| Entity Type | Individual |
| Full Name | BLAKE QUINTON JOHNSON |
| Practice Address |
506 W Jackman St Lancaster CA 93534-2531 |
| Practice Telephone | 6615798364 |
| Practice Fax Number | 6617262854 |
| Mailing Telephone | 6615798364 |
| Mailing Fax Number | 6617262854 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | ASW93874 | CA | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154733004 | Blake Ashton Johnson | Emergency Medicine | 13737 Noel Rd Ste 1200, Dallas, TX 75240-1335 | 2014-05-27 |
| 1497389142 | Blake Elliot Johnson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 | 2020-03-02 |
| 1396393021 | Blake Jeffrey Johnson | Social Worker | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5216 | 2019-08-27 |
| 1174086847 | Blake Ryan Johnson | Pharmacist | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2019-04-10 |
| 1326526906 | Blake Johnson | Occupational Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2018-08-05 |
| 1659889368 | Blake Johnson | Physician Assistant | 804 22nd Ave, Kearney, NE 68845-2206 | 2018-01-16 |
| 1164938288 | Blake Allan Johnson | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2017-12-27 |
| 1881147809 | Blake Emil Johnson | Pharmacist | 1501 San Pedro Dr Se, Pharmacy Service 119, Albuquerque, NM 87108-5153 | 2016-07-26 |
| 1881077980 | Blake Alan Johnson | Dentist | 124 3rd St, Marietta, OH 45750-3108 | 2015-07-07 |
| 1265824254 | Blake Johnson | Specialist/Technologist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2015-02-27 |
| Street Address |
506 W JACKMAN ST |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821072950 | Willard Quirk Jr. | Psychiatry & Neurology | 506 W Jackman St, Lancaster, CA 93534-2531 | 2005-12-01 |
| 1205435815 | Chad Costello | Social Worker | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-10-23 |
| 1144835729 | Matthew Phillip Mata | Case Manager/Care Coordinator | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-09-10 |
| 1699388512 | Randy Amir Flores | Case Manager/Care Coordinator | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-08-29 |
| 1053936963 | Vicki Lee Mckay | Case Manager/Care Coordinator | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-06-16 |
| 1346865359 | Katherine I Martinez | Case Manager/Care Coordinator | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-06-15 |
| 1679192157 | Michelle Rene Collier | Case Manager/Care Coordinator | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-04-14 |
| 1427684521 | Jason Briseno | Case Manager/Care Coordinator | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-03-20 |
| 1609402981 | Christine Paz | Licensed Vocational Nurse | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-03-18 |
| 1871126086 | Abayomi Adetokunbo Taiwo | Social Worker | 506 W Jackman St, Lancaster, CA 93534-2531 | 2020-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| 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 |
|---|---|---|---|---|
| 1245859826 | Patricia Tolle | Social Worker | 1015 Shadowstone Dr, Lancaster, PA 17603-9756 | 2020-04-13 |
| 1730711912 | Jennifer Marie Dicola | Social Worker | 754 Manor St, Lancaster, PA 17603-5112 | 2020-02-06 |
| 1396385365 | Carrie Thomas | Social Worker | 1505 Warwick Dr, Lancaster, TX 75134-2977 | 2020-01-08 |
| 1285279976 | Kimberly M. Harford | Social Worker | 410 North Prince St, Lancaster, PA 17603-3010 | 2019-11-17 |
| 1982245940 | Heart for Change Counseling Services, Inc. | Social Worker | 200 Willow Valley Sq Ste 205, Lancaster, PA 17602-4859 | 2019-10-01 |
| 1407405921 | Christopher David Thomas | Social Worker | 120 N Duke St, Lancaster, PA 17602-2825 | 2019-09-06 |
| 1508415191 | Richard G Boyer | Social Worker | 1016 N Charlotte St, Lancaster, PA 17603-2764 | 2019-09-06 |
| 1992353023 | Patience Buckwalter | Social Worker | 346 Holly Ln, Lancaster, PA 17602-3823 | 2019-09-02 |
| 1033761572 | Ashley Neville | Social Worker | 230 N Columbus St, Lancaster, OH 43130-3005 | 2019-07-15 |
| 1720547334 | Deanna Figueroa | Social Worker | 1681 Crown Ave Ste 201, Lancaster, PA 17601-6303 | 2019-03-14 |
| Find all providers in LANCASTER | ||||
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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.