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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jesse Blake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wheeling Hospital, Inc.
78 mi
Family Medicine
1006 COMMERCE ST
Wellsburg, WV 26070
  • Reassigned Medicare billing, West Virginia enrollment
  • 502 clinicians in this Medicare group
NPI 1750531984 (304) 737-4435
Southeast, Inc
83 mi
Mental Health (Including Community Mental Health Center)
16 W LONG ST
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 81 clinicians in this Medicare group
NPI 1932169497 (614) 225-0980

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
2000 NOBLE DR
WOOSTER, OH 44691
Wayne County (330) 264-3232
CYNTHIA GORCZYCA RN
Registered Nurse
2000 NOBLE DR
WOOSTER, OH 44691
Wayne County (330) 264-3232
EMILY BURTON
Case Manager/Care Coordinator
2000 NOBLE DR
WOOSTER, OH 44691
Wayne County (330) 439-8492
PATRICIA MACKINTOSH BSSW, LSW
Social Worker
2000 NOBLE DR
WOOSTER, OH 44691
Wayne County (330) 264-3232
PATRICE D LEE
Case Manager/Care Coordinator
2000 NOBLE DR
WOOSTER, OH 44691
Wayne County (330) 264-3232
MATILDA APPIAH- SARPONG
Case Manager/Care Coordinator
2000 NOBLE DR
WOOSTER, OH 44691
Wayne County (330) 264-3232
LILLY ELIZABETH HENNEY
Case Manager/Care Coordinator
2000 NOBLE DR
WOOSTER, OH 44691
Wayne County (330) 264-3232
JULIE SHEA GORDON MSW, LISW
Social Worker (Clinical)
2000 NOBLE DR
WOOSTER, OH 44691
Wayne County (330) 264-3232

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 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.

Where is Jesse Blake located?

Jesse Blake practices at 2000 Noble Dr, Wooster, OH 44691. The listed phone number is (330) 264-3232.

What is Jesse Blake's specialty?

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

Is Jesse Blake enrolled in Medicare?

Yes. Jesse Blake is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jesse Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Blake reassigns Medicare benefits to 2 organizations: Wheeling Hospital, Inc. (Wellsburg, WV) and Southeast, Inc (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesse Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesse Blake accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Jesse Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.