BLAKE JEFFREY JOHNSON (NPI# 1396393021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396393021 |
| Entity Type | Individual |
| Full Name | BLAKE JEFFREY JOHNSON |
| Credential | LMSW |
| Practice Address |
5400 Kirkwood Blvd Sw Cedar Rapids IA 52404-5216 |
| Practice Telephone | 3193640259 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 096592 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154733004 | Blake Ashton Johnson | Emergency Medicine | 13737 Noel Rd Ste 1200, Dallas, TX 75240-1335 | 2014-05-27 |
| 1497389142 | Blake Elliot Johnson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 | 2020-03-02 |
| 1174086847 | Blake Ryan Johnson | Pharmacist | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2019-04-10 |
| 1326526906 | Blake Johnson | Occupational Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2018-08-05 |
| 1659889368 | Blake Johnson | Physician Assistant | 804 22nd Ave, Kearney, NE 68845-2206 | 2018-01-16 |
| 1164938288 | Blake Allan Johnson | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2017-12-27 |
| 1275075269 | Blake Quinton Johnson | Social Worker | 506 W Jackman St, Lancaster, CA 93534-2531 | 2016-11-08 |
| 1881147809 | Blake Emil Johnson | Pharmacist | 1501 San Pedro Dr Se, Pharmacy Service 119, Albuquerque, NM 87108-5153 | 2016-07-26 |
| 1881077980 | Blake Alan Johnson | Dentist | 124 3rd St, Marietta, OH 45750-3108 | 2015-07-07 |
| 1265824254 | Blake Johnson | Specialist/Technologist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2015-02-27 |
| Street Address |
5400 KIRKWOOD BLVD SW |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52404-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710046255 | Four Oaks Family & Children Services | Community/Behavioral Health | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404 | 2006-12-08 |
| 1245888965 | Ann Mills Ghabel | Social Worker | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5298 | 2019-08-27 |
| 1437718905 | Stephanie Schmieder | Social Worker | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5298 | 2019-06-10 |
| 1528525177 | Chelsea Marie Delarm | Psychologist | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5216 | 2019-03-01 |
| 1205393071 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 5400 Kirkwood Blvd Sw, North Oaks Program, Cedar Rapids, IA 52404-5298 | 2019-02-27 |
| 1194282962 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 5400 Kirkwood Blvd Sw, Mcintyre Program, Cedar Rapids, IA 52404-5298 | 2019-02-27 |
| 1417493537 | Four Oaks Family and Children's Services | Community/Behavioral Health | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5216 | 2017-01-12 |
| 1235537838 | Amy Reihman | Counselor | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5216 | 2014-12-12 |
| 1700284577 | Ashlie Obrecht | Marriage & Family Therapist | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5216 | 2014-12-10 |
| 1366787442 | Jena Lee Erger | Marriage & Family Therapist | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5216 | 2012-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233064 | Physiotherapy Associates, Inc. | Clinic/Center | 998 Westdale Parkway, Cedar Rapids, IA 52404 | 2020-10-22 |
| 1528617313 | Humble Language Institute | Interpreter | 3513 Royal Dr. Sw, Cedar Rapids, IA 52404 | 2019-09-05 |
| 1073169074 | Jackie Lugene Mcfetridge | Technician | 3528 Falcon View Rd Sw, Cedar Rapids, IA 52404 | 2019-08-15 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1659859569 | Wanda Marie Mokry-sellers | Counselor | 3601 16th Avenue Sw, Cedar Rapids, IA 52404 | 2018-08-02 |
| 1790231371 | Freddie Lederle | Taxi | 3260 Southgate Place, Cedar Rapids, IA 52404 | 2016-09-01 |
| 1619422748 | Mercy Physician Associates, Inc | Family Medicine | 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 | 2016-08-18 |
| 1740638626 | Lasharon Leah Taylor | Counselor | 3330 Southgate Ct Sw, Cedar Rapids, IA 52404 | 2016-06-01 |
| 1689094112 | Pathway Counseling Center | Clinic/Center | 1073 Rockford Rd Se, Suite E, Cedar Rapids, IA 52404 | 2014-04-23 |
| Find all providers in zip 52404 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307111 | Christina Lea Aquino | Social Worker | 1026 A Ave. Ne, Cedar Rapids, IA 52402-2464 | 2015-10-05 |
| 1790177657 | Susan Williams | Social Worker | 4403 1st Ave Se Ste 502, Cedar Rapids, IA 52402-3222 | 2015-03-02 |
| 1346560646 | Rumpelstiltskin Inc. | Social Worker | 425 2nd St Se Ste 1275, Cedar Rapids, IA 52401-1819 | 2010-06-09 |
| 1326205121 | Patricia Carolyn Gilbaugh | Social Worker | 3726 Queen Ct Sw Ste 105, Cedar Rapids, IA 52404-3903 | 2008-05-20 |
| 1972663748 | Samuel B Thompson | Social Worker | 210 2nd St Suite 200, Cedar Rapids, IA 52401 | 2006-12-11 |
| 1750456182 | Kathleen M Teraberry | Social Worker | 210 2nd St Se, Suite 202, Cedar Rapids, IA 52401-1416 | 2006-11-21 |
| 1477510634 | Nancy Lois Schroeder | Social Worker | 4420 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2006-04-28 |
| 1972588267 | Hedy Bextine | Social Worker | 118 2nd St Se, Ste 220, Cedar Rapids, IA 52401-1210 | 2005-12-09 |
| 1902890510 | Ericka Sue Buswell | Social Worker | 1073 Rockford Rd Sw, Suite G, Cedar Rapids, IA 52404-1870 | 2005-09-09 |
| 1770197436 | Brittany Brdicko | Social Worker | 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | 2020-09-01 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52404 |
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| 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.