COURTNEY CHRISTINE BLAKE (NPI# 1548813918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548813918 |
| Entity Type | Individual |
| Full Name | COURTNEY CHRISTINE BLAKE |
| Credential | LCSW |
| Practice Address |
758 Broadway Ulster Park NY 12487-5407 |
| Practice Telephone | 8454647018 |
| Mailing Telephone | 8454647018 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
087122-1 | NY | Behavioral Health & Social Service Providers |
| Y | 1041S0200X |
Social Worker Specialization: School |
087122-1 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 Boces Rd, Poughkeepsie, NY 126016565 | 8454647018 | |
| 8 W Hurley Rd, Woodstock, NY 124981822 | 8454647018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649700584 | Courtney Pope Blake | Social Worker | 523 Rockingham Rd, Rockingham, NC 28379 | 2017-06-13 |
| 1942675152 | Courtney Blake | Occupational Therapist | 500 Vermillion St, Centerville, SD 57014-2168 | 2015-12-14 |
| 1184876278 | Courtney L Blake | Licensed Practical Nurse | 10065 E Harvard Ave, Denver, CO 80231-5968 | 2008-10-21 |
| Street Address |
758 BROADWAY |
| City | ULSTER PARK |
| State | NY |
| Zip Code | 12487-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609413954 | Susan Williams | Social Worker | 18 Suominen Rd, Ulster Park, NY 12487 | 2019-12-05 |
| 1750521415 | Denise M Koemm | Registered Nurse | 91 Union Center Rd, Ulster Park, NY 12487 | 2009-02-20 |
| 1518183730 | Isis Chen Lan Lum | Acupuncturist | 232 River Rd., Ulster Park, NY 12487 | 2007-04-17 |
| 1841280310 | Long Lake Rescue Squad Inc | Ambulance | Newcomb Road, Long Lake, NY 12487-0415 | 2005-10-26 |
| 1245306091 | Elizabeth A Mundt | Psychologist | 4 Rodmans Ln, Ulster Park, NY 12487-5013 | 2006-11-24 |
| 1841463775 | Stacey Lynn Tierney-gabler | Social Worker | 4 Rodmans Ln, Ulster Park, NY 12487-5013 | 2008-04-11 |
| 1245482512 | Deborah Lynne Haradon | Social Worker | 220 Rogers St, Ulster Park, NY 12487-5015 | 2008-10-18 |
| 1518465277 | Early Intervention Lcsw Services PC | Case Management | 220 Rogers St, Ulster Park, NY 12487-5015 | 2018-01-29 |
| 1477706455 | Jeffrey Allen Boardman | Occupational Therapist | 394 Broadway, Ulster Park, NY 12487-5102 | 2008-11-04 |
| 1396079133 | Dona M Havir | Registered Nurse | 617 Broadway, Ulster Park, NY 12487-5110 | 2009-09-27 |
| Find all providers in zip 12487 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584891 | Alliah Irtan | Social Worker | 20 Randall Ave Apt 3m, Freeport, NY 11520-2756 | 2020-10-02 |
| 1144834045 | Luis Steven Maisonet | Social Worker | 255 Porter Ave, Buffalo, NY 14201-1051 | 2020-09-08 |
| 1386258135 | Kimberly Lama Khan | Social Worker | 301 Henry St Fl 1, New York, NY 10002-4840 | 2020-08-31 |
| 1801406327 | Simone Curling | Social Worker | 93 Lewis Ave Apt 10a, Brooklyn, NY 11206-7031 | 2020-08-10 |
| 1720604622 | Matthew Joseph Danis | Social Worker | 219 W 15th St Apt 1f, New York, NY 10011-6449 | 2020-06-17 |
| 1710512538 | Carmen I Ramos | Social Worker | 580 Castle Hill Ave Apt 7a, Bronx, NY 10473-1514 | 2020-03-12 |
| 1134753429 | Susan London | Social Worker | 5 Peter Cooper Rd Apt Me, New York, NY 10010-6635 | 2020-02-26 |
| 1952948432 | Esmeralda Murati | Social Worker | 65 Tuckahoe Ave, Eastchester, NY 10709-3624 | 2019-12-04 |
| 1588209415 | Tenisha Neil-robinson | Social Worker | Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 | 2019-11-14 |
| 1891345781 | Danielle Tooley | Social Worker | 403 Broadway, Kingston, NY 12401-4625 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
| City | ULSTER PARK |
| Zip Code | 12487 |
Please comment or provide details below to improve the information on COURTNEY CHRISTINE BLAKE.
| 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.