MS. JACQUELINE BLAKE (NPI# 1841650272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841650272 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE BLAKE |
| Credential | LMSW |
| Practice Address |
8 Johnson St Staten Island NY 10309-1148 |
| Practice Telephone | 7189660317 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 097069 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740525740 | Jacqueline Blake | Counselor | 4201 S Congress Ave, Austin, TX 78745-1198 | 2012-12-01 |
| 1902282684 | Jacqueline Blake | Social Worker | 8221 Willow Oaks Corporate Dr, 2-217e.01, Fairfax, VA 22031-4512 | 2015-08-05 |
| 1386799070 | Jacqueline Margaret Blake | Psychologist | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2007-01-24 |
| Street Address |
8 JOHNSON ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10309-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003360827 | Alex Fasano | Social Worker | 8 Johnson St, Staten Island, NY 10309-1148 | 2016-08-10 |
| 1497139471 | Janine Catania | Social Worker | 8 Johnson St, Staten Island, NY 10309-1148 | 2015-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816650 | Nikki Schechter | Occupational Therapist | 3495 Richmond Road, Staten Island, NY 10309 | 2018-06-27 |
| 1659878213 | Pauline Izzo | Nurse Practitioner | 544 Darlington Ave, Staten Island, NY 10309 | 2018-04-10 |
| 1053822544 | Dufort Psychological Services Pllc | Psychologist | 401 Bloomingdale Rd Suite 6, Staten Island, NY 10309 | 2017-10-24 |
| 1902324361 | Anthony Orefice | Home Health | 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 | 2017-09-06 |
| 1770007767 | Graceann Cotroneo | Specialist | 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 | 2017-08-01 |
| 1477075836 | Matthew Jordan Levine | Specialist | 15 Redwood Loop, Staten Island, NY 10309 | 2017-07-07 |
| 1619339256 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 205 Bricktown Way, Ste A, Staten Island, NY 10309 | 2016-03-23 |
| 1295109692 | Danielle Kinsman | Early Intervention Provider Agency | 1007 Edgegrove Avenue, Staten Island, NY 10309 | 2015-11-23 |
| 1811363591 | Daniella Aryeh | Speech-Language Pathologist | 997 Stafford Avenye, Staten Island, NY 10309 | 2015-08-17 |
| 1649652058 | Visions By Victoria Rose Ltd. | Technician/Technologist | 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 | 2015-06-22 |
| Find all providers in zip 10309 | ||||
| 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 |
|---|---|---|---|---|
| 1629676036 | Jennifer Primiani | Social Worker | 50 Oceanic Ave, Staten Island, NY 10312-6512 | 2020-10-16 |
| 1457962482 | Jessica Ciccotto | Social Worker | 24 Turf Rd, Staten Island, NY 10314-6015 | 2020-08-13 |
| 1144844499 | Karina Tsareva | Social Worker | 90 Bay Street Lndg Apt 5f, Staten Island, NY 10301-2660 | 2020-06-02 |
| 1720609290 | Samantha Marder | Social Worker | 36 Richmond Ter Ste 205, Staten Island, NY 10301-1934 | 2020-05-06 |
| 1356970784 | Jessica Torres | Social Worker | 42 Gadsen Pl, Staten Island, NY 10314-4806 | 2020-04-07 |
| 1013541457 | Roseana Jolly | Social Worker | 425 Gansevoort Blvd, Staten Island, NY 10314-5260 | 2020-02-25 |
| 1588205835 | Natasha Slater | Social Worker | 2381 Hylan Blvd Ste 13, Staten Island, NY 10306-3145 | 2019-10-07 |
| 1427603992 | Christy Ekpe | Social Worker | 656 Targee St, Staten Island, NY 10304-3411 | 2019-08-01 |
| 1831742378 | Lindsey Celia Mcguinness | Social Worker | 46 Calvanico Ln, Staten Island, NY 10314-4730 | 2019-07-23 |
| 1013476746 | Nicholas J Gonzalez | Social Worker | 234 Cuba Ave Apt 2f, Staten Island, NY 10306-4702 | 2019-03-12 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10309 |
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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.