JASON BENNETT LAKE LCSW
NPI 1922304948
Social Worker - Clinical in Raleigh, NC

Q: What is Jason Lake's NPI number?

The NPI number for Jason Lake is 1922304948. It was assigned to this individual provider in the NPPES registry on February 9, 2011.

Q: What is Jason Lake'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 Jason Lake was last updated on February 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 February 09, 2011

1100 LOGGER CT, G-103, RALEIGH, NC 27609(919) 538-5511 Get Directions Write a Review

NPPES record last updated: February 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jason Bennett Lake Lcsw NPPES

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

JASON BENNETT LAKE LCSW (NPI 1922304948) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (C006990) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1922304948

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJASON BENNETT LAKECredential: LCSW

Location Address1100 LOGGER CT, G-103Raleigh, NC 27609-8525

Mailing Address1100 Logger Ct Ste G103Raleigh, NC 27609-8512 · (919) 538-5511

Phone(919) 538-5511

Sole ProprietorYes

Enumeration DateFebruary 9, 2011

Last NPPES UpdateFebruary 17, 2014

✔ NPI 1922304948 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 NC · C006990

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.

1100 LOGGER CT, Raleigh, NC 27609

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Other Identifiers 1

OtherC006990NC · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 18

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

HEARTFELT ALTERNATIVES, INC.

Community/Behavioral Health

1100 LOGGER CT, SUITE C100
RALEIGH, NC 27609

Wake County (919) 844-7770

ALLIED HOME HEALTH CARE SERVICES,INC

Home Health

1100 LOGGER CT, SUITE D-101-B
RALEIGH, NC 27609

Wake County (919) 649-2586

HEARTFELT ALTERNATIVES INC

Counselor

1100 LOGGER CT, C100
RALEIGH, NC 27609

Wake County (919) 844-7770

MISS STARR GUTHRIE MSW, LCSWA

Social Worker (Clinical)

1100 LOGGER CT, SUITE C100
RALEIGH, NC 27609

Wake County (919) 844-7770

ROVINA NIMBALKAR LCSWA

Social Worker (Clinical)

1100 LOGGER CT
RALEIGH, NC 27609

Wake County (919) 844-7770

TYLISA MITCHELL

Counselor (Mental Health)

1100 LOGGER CT, STE C100
RALEIGH, NC 27609

Wake County (919) 844-7770

GUSTAVE YONTY

Home Health

1100 LOGGER CT
RALEIGH, NC 27609

Wake County (919) 633-9397

TONY EVERETT GLENN

Counselor

1100 LOGGER CT
RALEIGH, NC 27609

Wake County (919) 844-7770

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 Jason Lake's NPI number?

The NPI number for Jason Lake is 1922304948. It was assigned to this individual provider in the NPPES registry on February 9, 2011.

Where is Jason Lake located?

Jason Lake practices at 1100 Logger Ct G-103, Raleigh, NC 27609. The listed phone number is (919) 538-5511.

What is Jason Lake's specialty?

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

What insurance does Jason Lake accept?

Health plans from Blue Cross and Blue Shield of NC list Jason Lake 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 Jason Lake was last updated on February 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.