JASON BENNETT LAKE (NPI# 1922304948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922304948 |
| Entity Type | Individual |
| Full Name | JASON BENNETT LAKE |
| Credential | LCSW |
| Practice Address |
1100 Logger Ct G-103 Raleigh NC 27609-8525 |
| Mailing Address |
1100 Logger Ct Ste G103 Raleigh NC 27609-8512 |
| Practice Telephone | 9195385511 |
| Mailing Telephone | 9195385511 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2014-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C006990 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | STATE LICENSE | C006990 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609195189 | Jason Greer Lake | Pediatrics | 1 Childrens Pl, 3s34, Saint Louis, MO 63110-1002 | 2010-05-24 |
| 1205051430 | Jason Edward Lake | Orthopaedic Surgery | 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2171 | 2007-04-14 |
| 1225133820 | Jason Michael Lake | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2006-09-14 |
| 1629022777 | Jason S. Lake | Optometrist | 601 E Russell Ave, Warrensburg, MO 64093-9605 | 2006-05-22 |
| 1821048182 | Jason T Lake | Nurse Anesthetist, Certified Registered | 690 Canton St, Suite 325, Westwood, MA 02090-2321 | 2006-05-10 |
| Street Address |
1100 LOGGER CT G-103 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-8525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568416733 | Chad Jordan | Marriage & Family Therapist | 1100 Logger Ct, G-103, Raleigh, NC 27609-8525 | 2006-05-20 |
| 1487207551 | Sonja Spruill | Counselor | 1100 Logger Ct, Raleigh, NC 27609-8525 | 2019-07-18 |
| 1255861167 | Florence Bright Owen | Counselor | 1100 Logger Ct, C100, Raleigh, NC 27609 | 2017-06-13 |
| 1952853954 | Suzanna Nagy | Counselor | 1100 Logger Ct, Raleigh, NC 27609 | 2016-10-26 |
| 1932650611 | Heartfelt Alternatives | Community/Behavioral Health | 1100 Logger Ct, Suite C-100, Raleigh, NC 27609-8525 | 2016-10-18 |
| 1043769912 | Sharon Bradley | Social Worker | 1100 Logger Ct, Suite C-100, Raleigh, NC 27609-8525 | 2016-10-03 |
| 1326411745 | Tylisa Mitchell | Counselor | 1100 Logger Ct, Ste C100, Raleigh, NC 27609-8525 | 2015-11-06 |
| 1174994024 | Heartfelt Alternatives Inc | Counselor | 1100 Logger Ct, C100, Raleigh, NC 27609-8525 | 2015-10-16 |
| 1447633102 | Shnella Kelly | Marriage & Family Therapist | 1100 Logger Ct, Suite C-100, Raleigh, NC 27609-8525 | 2015-06-30 |
| 1427430743 | Tony Everett Glenn | Counselor | 1100 Logger Ct, Raleigh, NC 27609-8525 | 2015-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333516 | Susan Silberman | Social Worker | 8480 Honeycutt Rd Ste 200, Raleigh, NC 27615-2261 | 2020-10-09 |
| 1427665074 | Arshiya F Siddiqui | Social Worker | 12900 Saxon Way, Raleigh, NC 27613-5753 | 2020-09-28 |
| 1427661784 | Priscilla Janine James | Social Worker | 913 Haynes St, Raleigh, NC 27604-1463 | 2020-08-26 |
| 1730791443 | Robin Hotard Roche | Social Worker | 3209 Clandon Park Dr, Raleigh, NC 27613-8839 | 2020-08-24 |
| 1124639786 | Richetta White | Social Worker | 2921 Berkeley Springs Pl, Raleigh, NC 27616-6645 | 2020-08-16 |
| 1356950349 | Rachel Elizabeth Zarcone | Social Worker | 702 Van Buren Rd, Raleigh, NC 27604-2368 | 2020-07-27 |
| 1881202794 | Nikki Atkins | Social Worker | 3125 Poplarwood Ct Ste 211, Raleigh, NC 27604-6445 | 2020-07-16 |
| 1770100547 | Flourish Mental Health Pllc | Social Worker | 8307 Six Forks Rd Ste 201, Raleigh, NC 27615-3768 | 2020-06-28 |
| 1235756057 | Amy Boiselle Fitzgerald | Social Worker | 524 S Boylan Ave, Raleigh, NC 27603-2130 | 2020-06-27 |
| 1639798200 | Tatiana Alicia Hinton | Social Worker | 3117 Poplarwood Ct Ste 350, Raleigh, NC 27604-6446 | 2020-04-13 |
| Find all providers in RALEIGH | ||||
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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.