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MR. JONATHAN T BLAKE LSW
NPI 1154108439
Social Worker in Olyphant, PA

Active since September 11, 2023
126 WILLOW AVE, OLYPHANT, PA 18447(570) 382-8157 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Jonathan T Blake Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JONATHAN T BLAKE LSW (NPI 1154108439) is an individual social worker in Olyphant, Pennsylvania, licensed in Pennsylvania (SW137924) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1154108439
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. JONATHAN T BLAKECredential: LSW
Location Address126 WILLOW AVEOlyphant, PA 18447-1442
Mailing Address127 Church StDunmore, PA 18512-1907 · (570) 878-5008
Phone(570) 382-8157
Sole ProprietorYes
Enumeration DateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
✔ NPI 1154108439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in PA · SW137924
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.
126 WILLOW AVE, Olyphant, PA 18447
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FELLOWSHIP HOUSE LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
126 WILLOW AVE
OLYPHANT, PA 18447
Lackawanna County (845) 332-5468

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Blake's NPI number?

The NPI number for Jonathan Blake is 1154108439. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Where is Jonathan Blake located?

Jonathan Blake practices at 126 Willow Ave, Olyphant, PA 18447. The listed phone number is (570) 382-8157.

What is Jonathan Blake's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jonathan Blake was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.