BRENDA REBECCA BLAKE


Address: 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319
Phone: 5037635734

BRENDA REBECCA BLAKE (NPI# 1285243436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285243436
Entity Type Individual
Full Name BRENDA REBECCA BLAKE
Practice Address 3876 Beverly Ave Ne Bldg G
Salem
OR 97305-1319
Mailing Address 20356 Ferry Rd Se
Stayton
OR 97383-9658
Practice Telephone 5037635734
Mailing Telephone 5033835206
Enumeration Date 2020-07-23
Last Update Date 2020-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers BRENDA BLAKE

NPI Name Taxonomy Address Enumeration
1487073938 Brenda Blake Counselor 697 Pro-med Ln, Carmel, IN 46032-5323 2014-04-14
1932274750 Brenda G Blake Counselor 975 Bethesda Dr, Zanesville, OH 43701-7500 2006-11-21

Office Location

Street Address 3876 BEVERLY AVE NE BLDG G
City SALEM
State OR
Zip Code 97305-1319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396926895 Nicholas James Stroud Social Worker 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 2007-11-26
1396360863 Rachel Rose Mccall Peer Specialist 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 2020-06-10
1841814746 Madison Anne Dulany Peer Specialist 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 2020-06-05
1215596093 Shayla Michele Richardson Case Manager/Care Coordinator 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 2019-06-06
1528626330 Michael Kelly Martin Case Manager/Care Coordinator 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 2019-06-05
1750872446 Fernando Rincon Mata Case Manager/Care Coordinator 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 2018-05-29
1336630730 Jennifer Lomeli Case Manager/Care Coordinator 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 2018-05-22
1346757911 Rosa M Noriega Peer Specialist 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 2018-01-04
1407368285 Torey Jarrett Case Manager/Care Coordinator 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 2017-11-01
1396254215 Dana Morris Social Worker 3876 Beverly Ave Ne Bldg G, Salem, OR 97305-1319 2017-09-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821639147 Christine Ann Featherstone Social Worker Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 2019-10-08
1962996553 Erin Ann Wakefield Non-emergency Medical Transport (VAN) 2425 Fisher Rd Ne, Salem, OR 97305 2018-06-18
1770002271 Traci L Lee Case Manager/Care Coordinator 3876 Beverly Ave Bldg G, Salem, OR 97305 2017-09-15
1952825762 Matthew Paul Martin Dentist 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 2017-08-02
1043750367 Sherri King Physical Therapy Assistant 4696 Reimann St Ne, Salem, OR 97305 2017-03-06
1760861314 Amara Lenore Peterson Counselor 4347 Sunnyview Rd Ne, Salem, OR 97305 2015-05-28
1720467954 Heather Rose Community Health Worker 4347 Sunnyview Road Ne, Salem, OR 97305 2015-05-20
1588057004 Carmen Heidecke Counselor 4347 Sunnyview Rd. Ne, Salem, OR 97305 2015-03-08
1629476825 Bryan James Greenaway Audiologist 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 2014-12-21
1710300322 Christopher Ryan Counselor 4385 Sunnyview Road Ne, Salem, OR 97305 2014-02-03
Find all providers in zip 97305

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336755586 Emma Theresa Cox Case Manager/Care Coordinator 33 Upham St Apt 3, Salem, MA 01970-2460 2020-09-22
1407475064 Yolanda Loyer Case Manager/Care Coordinator 2789 E State St Ste 7, Salem, OH 44460-9327 2020-04-14
1770121501 Stacy Bush Phillips Case Manager/Care Coordinator 1501 Mill Race Dr, Salem, VA 24153-3137 2019-12-11
1528618659 Linda Diane Pierce Case Manager/Care Coordinator 1724 Broadway St Ne, Salem, OR 97301-0509 2019-09-20
1770002271 Traci L Lee Case Manager/Care Coordinator 3876 Beverly Ave Bldg G, Salem, OR 97305 2017-09-15
1427576065 Katherine Lingmai Case Manager/Care Coordinator 1790 23rd St. Ne, Salem, OR 97301 2017-09-04
1225577240 Anjalique Benham Case Manager/Care Coordinator 5 Lancelot Ct, Apt#1, Salem, NH 03079-3555 2017-02-23
1518409762 Melissa Ward Case Manager/Care Coordinator 1380 Southside Dr, Suite 100, Salem, VA 24153 2016-11-04
1467810945 Carl Walton Kapocias Case Manager/Care Coordinator 750 Front St Ne, Salem, OR 97301-1089 2016-01-29
1215339361 Kaylor Ficklin Case Manager/Care Coordinator 188 E 300 S, Salem, UT 84653-9453 2014-09-19
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 97305

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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