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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 104100000X | Social Worker | 348922-3502 | UT | Behavioral Health & Social Service Providers |
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 |
Street Address |
26 W HIDDEN HOLLOW DR |
City | OREM |
State | UT |
Zip Code | 84058-7497 |
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 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 |
---|---|---|---|---|
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 |
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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.