Active NPIIndividual providerSole proprietor

Mrs. Nancy Blake, LCSW

Social Worker, Clinical in Upper Saddle River, New Jersey

NPI Number1124453378
Practice location
69 Oak Dr, Upper Saddle River, NJ 07458-2214
Fax
201-996-3502
Last updated
September 6, 2013

Nancy Blake is a Social Worker, Clinical based in Upper Saddle River, NJ. Nancy Blake practices in Upper Saddle River, NJ and has the professional credentials of LCSW. The NPI Number for Nancy Blake is 1124453378 and holds a License No. 44sc05512500 (NJ). The current practice location address for Nancy Blake is 69 Oak Dr, Upper Saddle River, NJ 07458-2214 and can be reached out via phone at 201-327-6406 and via fax at 201-996-3502.

Provider Profile Details

NPI Number
1124453378
Provider Name
Nancy Blake
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
69 Oak Dr, Upper Saddle River, NJ 07458-2214
Phone Number
201-327-6406
Fax Number
201-996-3502
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 6, 2013
Last Update Date
September 6, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
69 Oak Dr
Upper Saddle River, NJ 07458-2214
Zip
07458-2214
Phone Number
201-327-6406
Fax Number
201-996-3502
Upper Saddle River, NJ 07458Get directions →

Provider Business Mailing Address Details

Address
69 Oak Dr
Upper Saddle River, NJ 07458-2214
City
Upper Saddle River
State
NJ
Zip
07458-2214
Phone Number
201-327-6406
Fax Number
201-996-3502

License Information

License Number
44sc05512500
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Nancy Blake, LCSW?

The NPI number of Mrs. Nancy Blake, LCSW is 1124453378. It was assigned on September 6, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Nancy Blake, LCSW?

Mrs. Nancy Blake, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44sc05512500.

Where does Mrs. Nancy Blake, LCSW practice?

The practice location is 69 Oak Dr, Upper Saddle River, NJ 07458-2214. The office can be reached at 201-327-6406 (phone) or 201-996-3502 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124453378 directly on the NPPES registry website.

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