Lisa Jolene Blake
Social Worker - Clinical
About Lisa Jolene Blake
Lisa Jolene Blake is a female healthcare professional specializing in Social Worker - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1376177584. Lisa Jolene Blake received her medical education at OTHER, graduating in 2020.
Their primary practice is located at 4933 S 1500 W STE 200, Riverdale, Utah 84405. Patients can reach the office at (385) 427-1072. In addition to the primary location, Lisa Jolene Blake maintains 2 additional practice locations.
Lisa Jolene Blake is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Lisa Jolene Blake has been NPI-registered since 2020.
Key Metrics
Practice Locations
3
Doctor Details
Identity & Credentials
- NPI Number
- 1376177584
- Entity Type
- Individual
- First Name
- Lisa
- Last Name
- Blake
- Gender
- Female
- Medical School
- OTHER
- Graduation Year
- 2020
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 4933 S 1500 W STE 200
- City
- Riverdale
- State
- Utah
- ZIP
- 84405-7738
- Country
- United States
- Phone
- (385) 427-1072
Specialty & Taxonomy
- Primary Specialty
- Social Worker - Clinical
- Classification
- Social Worker
- Specialization
- Clinical
- Taxonomy Code
- 1041C0700X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 1314 24TH ST
- City
- OGDEN
- State
- UT
- ZIP
- 844012902
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Lisa Jolene Blake's NPI number?
What does Lisa Jolene Blake specialize in?
Where is Lisa Jolene Blake located?
Does Lisa Jolene Blake accept Medicare?
Does Lisa Jolene Blake offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Lisa Jolene Blake is 1376177584.