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MR. LARRY M. ALI BLAKE JR. LCSW
NPI 1720239726
Social Worker - Clinical in Jersey City, NJ

Active since October 08, 2008
75 HARRISON AVE, FIRST FLOOR, JERSEY CITY, NJ 07304(201) 451-5425(201) 451-7499 Get Directions Write a Review

NPPES record last updated: October 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Larry M. Ali Blake Jr. Lcsw NPPES

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

MR. LARRY M. ALI BLAKE JR. LCSW (NPI 1720239726) is an individual clinical provider in Jersey City, New Jersey, licensed in New Jersey (44SC00522800) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1720239726
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. LARRY M. ALI BLAKE JR.Credential: LCSW
Location Address75 HARRISON AVE, FIRST FLOORJersey City, NJ 07304-2555
Mailing Address75 Harrison Ave, First FloorJersey City, NJ 07304-2555 · (201) 451-5425 · Fax (201) 451-7499
Phone(201) 451-5425
Fax(201) 451-7499
Sole ProprietorYes
Enumeration DateOctober 8, 2008
✔ NPI 1720239726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC00522800
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.
75 HARRISON AVE, Jersey City, NJ 07304
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Other Providers at the Same Location NPPES 2

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

CAG MEMORIAL HEALTH CENTER
Family Medicine (Adult Medicine)
75 HARRISON AVE, SUITE #2
JERSEY CITY, NJ 07304
Hudson County (201) 333-0094
MYSTEPRO
Clinic/Center (Adolescent and Children Mental Health)
75 HARRISON AVE
JERSEY CITY, NJ 07304
Hudson County (201) 451-5425

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 Larry Blake's NPI number?

The NPI number for Larry Blake is 1720239726. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Where is Larry Blake located?

Larry Blake practices at 75 Harrison Ave First Floor, Jersey City, NJ 07304. The listed phone number is (201) 451-5425.

What is Larry Blake's specialty?

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

When was this NPI record last updated?

The NPPES record for Larry Blake was last updated on October 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.