STEPHANIE KUULEI BLAKE


Address: 26 W Hidden Hollow Dr, Orem, UT 84058-7497
Phone: 8018366760

STEPHANIE KUULEI BLAKE (NPI# 1649365362) 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) 1649365362
Entity Type Individual
Full Name STEPHANIE KUULEI BLAKE
Other Name STEPHANIE KUULEI SUJETA
Credential LCSW
Practice Address 26 W Hidden Hollow Dr
Orem
UT 84058-7497
Practice Telephone 8018366760
Mailing Telephone 8018366760
Enumeration Date 2006-10-04
Last Update Date 2020-02-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 348922-3502 UT Behavioral Health & Social Service Providers

Other Providers STEPHANIE BLAKE

NPI Name Taxonomy Address Enumeration
1144710815 Stephanie Blake Specialist/Technologist 60 W Fulbright St, Walnut Ridge, AR 72476-9000 2018-05-17
1376109272 Stephanie Blake Behavior Technician 1525 Ridgewood Dr, Midland, MI 48642-6425 2019-05-15
1841707403 Stephanie S Blake Social Worker 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 2018-01-04
1164811279 Stephanie Kay Blake Physical Therapist 8537 Asheville Hwy, Suite 201, Knoxville, TN 37924-4124 2015-01-13
1366840910 Stephanie Blake Pharmacist 77 Chicago Ave, Staten Island, NY 10305-3757 2014-12-15
1003124769 Stephanie Danielle Blake Physical Therapist 621 W 21st St, Andover, KS 67002-8498 2010-09-15
1053585638 Stephanie Mccallum Blake Nurse Practitioner Baptist Medical Center, 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2008-04-15

Office Location

Street Address 26 W HIDDEN HOLLOW DR
City OREM
State UT
Zip Code 84058-7497

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821696782 Kaley Brooksby Behavior Technician 1140 W 1130, Orem, UT 84058 2020-10-13
1679042303 Carolyn Mott Harvey Counselor 276 E 905 S, Orem, UT 84058 2018-11-26
1902371826 Jennifer Morgan Ellefsen Nurse Practitioner 800 W University Pkwy # Ms 200, Orem, UT 84058 2018-10-07
1508340944 Eye Pros of Orem Optometrist 366 E. University Parkway, Orem, UT 84058 2018-09-21
1003398025 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 366 E University Pkwy, Orem, UT 84058 2018-09-06
1407338288 Jecel Kevin Mendoza Case Manager/Care Coordinator 1109 W 1390 S, Orem, UT 84058 2018-08-29
1407368509 Kaitlyn Winget Specialist/Technologist 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 2017-10-30
1871010454 Linda S George Behavior Technician 1875 S Geneva Road, Orem, UT 84058 2017-08-24
1811435951 Rhea V. Perry Massage Therapist 35 S 400 W, Orem, UT 84058 2017-02-09
1457735425 John Thomas Garlock Behavioral Analyst 1140 W 1130 S Bld B, Orem, UT 84058 2015-07-19
Find all providers in zip 84058

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528452398 Travis Reed Stephens Social Worker 1875 S State St Ste 1000, Orem, UT 84097-8076 2015-03-19
1447674189 Rachel Lay Social Worker 1428 S 320 E, Orem, UT 84058-7625 2014-02-18
1366720104 Deseret Counseling Inc Social Worker 1325 South 800 East, Suite 115 Room 115 B, Orem, UT 84097 2011-07-27
1831482223 Katie Elizabeth Barber Social Worker 560 S State St Ste G1, Orem, UT 84058-6397 2011-05-18
1588956981 Megan Roberta Christensen Social Worker 921 N 1240 E, Orem, UT 84097-2703 2011-05-04
1730405085 Lindsey Preston Social Worker 195 E 840 S, Orem, UT 84058-5016 2010-04-12
1245470079 Lindsie Anderton Social Worker 473 W 1400 N, Rocky Mountain Care, Orem, UT 84057 2009-03-06
1891861662 Paul W George Social Worker 1125 W Center St, Orem, UT 84057-5207 2006-11-25
1821603812 Anne Low Social Worker 1045 S Orem Blvd, Orem, UT 84058-6979 2020-09-15
1467064105 Denisse Heredia Social Worker 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 2020-08-22
Find all providers in OREM

Competitor

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City OREM
Zip Code 84058

Improve Information

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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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