JESSE L BLAKE MSW, LISW, LCSW
NPI 1407322092
Social Worker - Clinical in Wooster, OH

Q: What is Jesse Blake's NPI number?

The NPI number for Jesse Blake is 1407322092. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Q: What is Jesse Blake's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Blake was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 22, 2018PECOS Enrolled

2000 NOBLE DR, WOOSTER, OH 44691(330) 264-3232 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 7, 2024, Jul 16, 2024, Sep 15, 2020 and 1 more (4 updates tracked since 2018).

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About Jesse L Blake Msw, Lisw, Lcsw NPPES

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

JESSE L BLAKE MSW, LISW, LCSW (NPI 1407322092) is an individual clinical provider in Wooster, Ohio, licensed in Ohio (I.2405108) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407322092

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSE L BLAKECredential: MSW, LISW, LCSW

Location Address2000 NOBLE DRWooster, OH 44691-5353

Mailing Address2000 Noble DrWooster, OH 44691-5353

Phone(330) 264-3232

Sole ProprietorNo

Enumeration DateOctober 22, 2018

Last NPPES UpdateAugust 7, 20244 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1407322092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · I.2405108

Definition

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.

Also ListedSocial WorkerTaxonomy 104100000X · License S.1800525-TRNE (OH), S.2005362 (OH)

2000 NOBLE DR, Wooster, OH 44691

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Secondary Practice Locations 2

Location 140060 National RdBethesda, OH 43719-9763 · Phone (740) 792-0082

Location 253 14th StWheeling, WV 26003-3433 · Phone (304) 905-6516

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse L Blake Msw, Lisw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44691 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

JEMIAH MCNEAL

Case Manager/Care Coordinator