GWENDOLYN BLAKE (NPI# 1356868236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356868236 |
| Entity Type | Individual |
| Full Name | GWENDOLYN BLAKE |
| Credential | MA, ED.S., LPC |
| Practice Address |
65 Old Rt. 22 Suite 7b Clinton NJ 08809 |
| Mailing Address |
285 Hillcrest Dr Milford NJ 08848-1003 |
| Practice Telephone | 9083862897 |
| Mailing Telephone | 9088920005 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
37PC00540100 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
65 OLD RT. 22 SUITE 7B |
| City | CLINTON |
| State | NJ |
| Zip Code | 08809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700394244 | Hunterdon Regional Community Health | Acupuncturist | 1738 Rt 31 Ste 204, Clinton, NJ 08809 | 2018-01-18 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1154702900 | Hunts Mill Pharmacy Inc | Pharmacy | 14 Main St Fl 1, Clinton, NJ 08809 | 2015-06-17 |
| 1861882011 | Freedom House Inc | Clinic/Center | 2004 Route 31 North, Suite 2, Clinton, NJ 08809 | 2015-01-27 |
| 1689062952 | Ladan Abbasi | Nurse Practitioner | 1738 Route 31 North, Vein Institute of Hunterdon, Clinton, NJ 08809 | 2015-01-08 |
| 1508118027 | Robert Konowitz | Chiropractor | 1630 Route 31 North, Clinton, NJ 08809 | 2012-10-08 |
| 1881909232 | Jhansi Rani Poreddy | Pharmacist | 37 Old Route 22, Clinton, NJ 08809 | 2010-08-10 |
| 1306039110 | Cheryl H. Orenstein | Dentist | 1630 Rt 31, Clinton, NJ 08809 | 2007-08-24 |
| 1356534184 | Aldo A Freda | Dentist | 1630 Route 31, State Rt 31, Clinton, NJ 08809 | 2007-08-24 |
| 1922217199 | Shobhana B Vora | Psychiatry & Neurology | Edna Mahan Correctional Facility, 30 Pittstown Rd, Clinton, NJ 08809 | 2007-05-22 |
| Find all providers in zip 08809 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832882 | Lativia S Brown | Counselor | 9500 Baymar Ct, Clinton, MD 20735-3399 | 2020-08-22 |
| 1013570449 | Jennifer Marie Bartkowiak | Counselor | 2 Williams St Ste 1, Clinton, NY 13323-1748 | 2019-04-22 |
| 1295290609 | Alexis Marie Coleman | Counselor | 205 Shields St, Clinton, NC 28328-3241 | 2019-02-11 |
| 1225592140 | India Alexis Kea | Counselor | 9015 Woodyard Rd Ste 210, Clinton, MD 20735-4209 | 2019-01-24 |
| 1477045995 | Dynamic Psychological & Mediation Services | Counselor | 104 S 7th St, Clinton, OK 73601 | 2018-05-31 |
| 1831688233 | Jed Black | Counselor | 1407 N 2000 W Ste J, Clinton, UT 84015-8563 | 2018-05-02 |
| 1093214116 | Amy Elizabeth Glaser | Counselor | 40 Fairview Ave, Clinton, NJ 08809-1330 | 2018-02-04 |
| 1437662509 | Nancy Anne Baumgartner | Counselor | 65 Old Highway 22 Ste 7b, Clinton, NJ 08809-1315 | 2017-11-13 |
| 1497282743 | Sharon Vessel | Counselor | 10105 Plank Road Suite A, Clinton, LA 70722 | 2017-05-17 |
| 1316479579 | Jessica Butt | Counselor | 105 6th Ave N Ste B, Clinton, IA 52732-3825 | 2017-03-28 |
| Find all providers in CLINTON | ||||
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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.