MS. LISA J BLAKELY


Address: 684 Ellis St, San Francisco, CA 94109-8090
Phone: 4154094611

MS. LISA J BLAKELY (NPI# 1447543194) 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) 1447543194
Entity Type Individual
Full Name MS. LISA J BLAKELY
Practice Address 684 Ellis St
San Francisco
CA 94109-8090
Mailing Address 280 Turk St
San Francisco
CA 94102-3808
Practice Telephone 4154094611
Practice Fax Number 4154094617
Mailing Telephone 4159292470
Mailing Fax Number 7415749279
Enumeration Date 2011-05-26
Last Update Date 2011-05-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 1720385032 05
CA 1942507835 05

Other Providers LISA BLAKELY

NPI Name Taxonomy Address Enumeration
1336678317 Lisa Dove Blakely Registered Nurse 1659 Woodbridge Ln Ne, Atlanta, GA 30329-3536 2017-06-05

Office Location

Street Address 684 ELLIS ST
City SAN FRANCISCO
State CA
Zip Code 94109-8090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285706333 Dara Ruth Papo Counselor 684 Ellis St, San Francisco, CA 94109-8090 2006-11-14
1003378316 Anjna Champaneri Counselor 684 Ellis St, San Francisco, CA 94109-8090 2019-04-04
1346709227 Kate Horsting Specialist 684 Ellis St, San Francisco, CA 94109-8090 2019-03-19
1538634969 Randy Felix Sims Counselor 684 Ellis St, San Francisco, CA 94109-8090 2018-10-12
1306329453 Barrett Pierre Walters Counselor 684 Ellis St, San Francisco, CA 94109-8090 2018-09-13
1649787490 Amy Christin Ratkovich Marriage & Family Therapist 684 Ellis St, San Francisco, CA 94109-8090 2018-01-02
1700392784 Olivia Michele Clear Counselor 684 Ellis St, San Francisco, CA 94109-8090 2017-12-28
1124471784 Charles Green Counselor 684 Ellis St, San Francisco, CA 94109-8090 2016-07-19
1528412608 Maximilian Malak Baccarat Marriage & Family Therapist 684 Ellis St, San Francisco, CA 94109-8090 2016-04-14
1326402454 Katherine Infusino Community/Behavioral Health 684 Ellis St, San Francisco, CA 94109-8090 2016-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477169738 Emmapreet Bal Social Worker 750 Post Street, San Francisco, CA 94109 2020-09-21
1801414669 Hegla Yakeline Fielding Registered Nurse Felton Institute, 1500 Franklin St, San Francisco, CA 94109 2020-07-08
1356991350 Rachel Sit Wong Technician 1280 Ellis St. Apt. 12, San Francisco, CA 94109 2019-09-12
1396392502 Laura Kathryn Strader Student in an Organized Health Care Education/Training Program Community Youth Center, 1038 Post Street, San Francisco, CA 94109 2019-08-22
1821650227 Anita Kathleen O'shea Community Health Worker 730 Polk St 4th Floor, San Francisco, CA 94109 2019-07-05
1275015638 Quenna G Lee Occupational Therapist 1948 California Street, San Francisco, CA 94109 2018-09-02
1659857340 Kaihan Zhong Marriage & Family Therapist 1038 Post Street Community Youth Center, San Francisco, CA 94109 2018-07-16
1144716044 Elaina Barulic Marriage & Family Therapist 2040 Gough St, San Francisco, CA 94109 2018-07-03
1447778048 Yltze Pamela Cubas-moody Dentist 2107 Vanness Ave, San Francisco, CA 94109 2017-09-03
1063939387 Ritu Sen Counselor 815 Hyde Street, Suite 100, San Francisco, CA 94109 2017-08-28
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124685169 Joseph William Jasser, M.d., Medical Corporation Case Manager/Care Coordinator 505 Montgomery St Fl 11, San Francisco, CA 94111-2585 2019-05-24
1053784132 Annie Pham Case Manager/Care Coordinator 562 37th Ave Apt 2, San Francisco, CA 94121-2656 2015-11-11
1235532102 Maureen Rees Case Manager/Care Coordinator 201 Third Street, 7th Floor, San Francisco, CA 94103 2014-10-06
1821341215 Reymundo Espinoza Case Manager/Care Coordinator 445 Hampshire St, San Francisco, CA 94110-1416 2012-10-22
1689921173 Susan Au Case Manager/Care Coordinator 30 Mason St, Apt 702, San Francisco, CA 94102-2899 2012-08-14
1336495316 Sierra Simone Anderson Ross IIi Case Manager/Care Coordinator 472 Turk St, San Francisco, CA 94102-3330 2012-07-27
1871866079 Kelly Castel Case Manager/Care Coordinator 333 Valencia St Ste 240, 415-503-1046 Main Number, San Francisco, CA 94103-3547 2012-02-17
1861771933 Patricia O'connor Case Manager/Care Coordinator 201 3rd St Fl 7, San Francisco, CA 94103-3146 2011-08-08
1114153012 Van David Portlock Case Manager/Care Coordinator 730 Eddy St, Room 204, San Francisco, CA 94109-7846 2009-06-05
1760618805 Linda Kay Duncan Case Manager/Care Coordinator 730 Eddy St Apt 205, San Francisco, CA 94109-7847 2009-06-03
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Competitor

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City SAN FRANCISCO
Zip Code 94109

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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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