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Provider Profile

Lisa J. Blake

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At a glance

About Lisa Blake

Lisa J. Blake is a clinical social worker practicing in Riverdale, UT. This provider record is associated with NPI 1376177584.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2020

Specialty

Credentials & Licensing

UT licenceAs reported to the NPI registry
No. 6306212-3501As reported
NPINational Provider Identifier
1376177584Issued 2020

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Lisa J. Blake specialize in?

Lisa J. Blake is a clinical social worker in Riverdale, UT. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Lisa J. Blake located?

Lisa J. Blake is listed at 4933 S 1500 W Ste 200, Riverdale, UT 84405. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Lisa J. Blake's phone number?

The number on file is (385) 427-1072. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Lisa J. Blake's NPI number?

Lisa J. Blake's National Provider Identifier is 1376177584. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Lisa J. Blake train?

Lisa J. Blake attended Other, graduating in 2020. This comes from the CMS National Downloadable File.

CMS public data

How long has Lisa J. Blake been practicing?

Lisa J. Blake has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.

CMS public data

Has Lisa J. Blake confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Lisa J. Blake. If this is you, claiming it is free.

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