Active NPIIndividual provider

Cynthia J Blake, LCSW

Social Worker, Clinical in Ridgewood, New Jersey

NPI Number1972168326
Practice location
75 N Maple Ave Ste 201, Ridgewood, NJ 07450-3261
Fax
201-554-1996
Last updated
November 21, 2024

Cynthia J. Blake is a Social Worker, Clinical based in Ridgewood, NJ. Cynthia J. Blake practices in Ridgewood, NJ and has the professional credentials of LCSW. The NPI Number for Cynthia J. Blake is 1972168326 and holds a License No. 44SL06317900 (NJ). The current practice location address for Cynthia J. Blake is 75 N Maple Ave Ste 201, Ridgewood, NJ 07450-3261 and can be reached out via phone at 201-554-1998 and via fax at 201-554-1996.

Provider Profile Details

NPI Number
1972168326
Provider Name
Cynthia J. Blake
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
75 N Maple Ave Ste 201, Ridgewood, NJ 07450-3261
Phone Number
201-554-1998
Fax Number
201-554-1996
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Cynthia J O'Keefe (Former Name)
Provider Enumeration Date
May 1, 2019
Last Update Date
November 21, 2024
Certification Date
November 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 N Maple Ave Ste 201
Ridgewood, NJ 07450-3261
Zip
07450-3261
Phone Number
201-554-1998
Fax Number
201-554-1996
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
54 Hill St
Midland Park, NJ 07432-1637
City
Midland Park
State
NJ
Zip
07432-1637
Phone Number
201-554-1998
Fax Number
201-554-1996

License Information

License Number
44SL06317900
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 Cynthia J Blake, LCSW?

The NPI number of Cynthia J Blake, LCSW is 1972168326. It was assigned on May 1, 2019 and is currently active in the NPPES registry.

What is the specialty of Cynthia J Blake, LCSW?

Cynthia J Blake, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL06317900.

Where does Cynthia J Blake, LCSW practice?

The practice location is 75 N Maple Ave Ste 201, Ridgewood, NJ 07450-3261. The office can be reached at 201-554-1998 (phone) or 201-554-1996 (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 1972168326 directly on the NPPES registry website.

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