TIFFANY BLAKE (NPI# 1720530413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720530413 |
| Entity Type | Individual |
| Full Name | TIFFANY BLAKE |
| Practice Address |
514 Chickasawba St Blytheville AR 72315-2722 |
| Mailing Address |
2809 Forest Home Rd Jonesboro AR 72401-5320 |
| Practice Telephone | 8708242268 |
| Practice Fax Number | 8708242269 |
| Mailing Telephone | 8669721268 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 854-M | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898750 | Tiffany Blake | Counselor | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2020-07-06 |
| 1245854082 | Tiffany A Blake | Speech-Language Pathologist | 15050 14th Rd, Whitestone, NY 11357-2609 | 2020-06-07 |
| 1760999742 | Tiffany Blake | Behavior Technician | 9500 Annapolis Rd Ste B2, Lanham, MD 20706-2062 | 2017-12-29 |
| 1073042842 | Tiffany Nichole Blake | Counselor | 447 W Bearcat Dr, S Salt Lake, UT 84115-2519 | 2017-06-06 |
| 1255708970 | Tiffany G Blake | Social Worker | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2015-08-28 |
| Street Address |
514 CHICKASAWBA ST |
| City | BLYTHEVILLE |
| State | AR |
| Zip Code | 72315-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518152263 | West Clinic | Internal Medicine | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2007-09-06 |
| 1346710274 | Tiffany Jackson | Social Worker | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2018-12-04 |
| 1386126639 | Katey Taylor | Nurse Practitioner | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2018-09-04 |
| 1770956682 | Life Strategies Counseling, Inc | Clinic/Center | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2015-11-02 |
| 1265842520 | Brandi Brown-benson | Counselor | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2014-05-07 |
| 1730503475 | Meshia Clark | Case Manager/Care Coordinator | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2014-02-18 |
| 1396170478 | Shani Wylie | Case Manager/Care Coordinator | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2013-09-09 |
| 1063857076 | Tina Denice N'jie | Social Worker | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2013-05-03 |
| 1649512559 | Tamara Cooper | Social Worker | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2013-03-19 |
| 1427390335 | Latoria Ware-jackson | Case Manager/Care Coordinator | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2013-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055923 | Gosnell Drugs Inc. | Pharmacy | 134 Bevill Ave, Gosnell, AR 72315 | 2018-12-28 |
| 1770938441 | Kay Chan Powell | Optometrist | 527 N6th St, Ste A, Blythevile, AR 72315 | 2016-04-29 |
| 1124417142 | Victoria Jacoby | Nurse Practitioner | 1521 N. 10th Street, Suite A, Blytheville, AR 72315 | 2015-01-14 |
| 1154736635 | Hanna Kirk | Case Manager/Care Coordinator | 829 East Main St, Blytheville, AR 72315 | 2014-06-24 |
| 1700207909 | Hannah Browning | Speech-Language Pathologist | 4555 North State Highway 137, Blytheville, AR 72315 | 2013-12-16 |
| 1164859286 | Valarie Ranae Oldham | Physical Therapist | 827 E Main, Suite B, Blytheville, AR 72315 | 2013-10-03 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1962707158 | Diffine Family Practice Pllc | Family Medicine | 1100 Medical Plaza Drive South, Suite C, Blytheville, AR 72315 | 2011-01-19 |
| 1447451984 | Diabetes Institute Inc | Durable Medical Equipment & Medical Supplies | 623 W Moultrie, Blytheville, AR 72315 | 2007-05-31 |
| 1043426109 | Connie Bromley | Social Worker | 514 Chickasawba, Blytheville, AR 72315 | 2007-05-15 |
| Find all providers in zip 72315 | ||||
| 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 |
|---|---|---|---|---|
| 1316227747 | Joetta Whitaker | Social Worker | 634 W Main St, Blytheville, AR 72315-3336 | 2011-08-17 |
| 1043426109 | Connie Bromley | Social Worker | 514 Chickasawba, Blytheville, AR 72315 | 2007-05-15 |
| 1346710274 | Tiffany Jackson | Social Worker | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2018-12-04 |
| 1205365046 | Audra Pierce | Social Worker | 209 S Lockard St, Blytheville, AR 72315-2541 | 2017-06-06 |
| 1063857076 | Tina Denice N'jie | Social Worker | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2013-05-03 |
| 1649512559 | Tamara Cooper | Social Worker | 514 Chickasawba St, Blytheville, AR 72315-2722 | 2013-03-19 |
| 1184998429 | Melody Yvonne Mccaig | Social Worker | 209 S Lockard St, Blytheville, AR 72315 | 2012-03-05 |
| 1477837938 | Valerie Stewart | Social Worker | 634 W Main St, Blytheville, AR 72315-3336 | 2011-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761806 | Sarah Alain Gumm | Social Worker | 701 E Main St Ste 11, Russellville, AR 72801-5209 | 2020-08-18 |
| 1093326027 | Kerri Adams | Social Worker | 4170 W Mlk Blvd Ste 901, Fayetteville, AR 72704-7702 | 2020-08-13 |
| 1467060699 | Open Book Wellness Center LLC | Social Worker | 517 N 14th St Ste 4, Paragould, AR 72450-3550 | 2020-07-14 |
| 1659997260 | Robbin Bannigan Walsh Cochran | Social Worker | 2200 Fort Roots Dr # 2h-156c, North Little Rock, AR 72114-1709 | 2020-06-19 |
| 1164068961 | Vanessa Perdue Brill | Social Worker | 4224 Shuffield Dr., Little Rock, AR 72205-7199 | 2019-11-27 |
| 1336797935 | Courage Therapeutic Riding Center, Inc. | Social Worker | 12922 Hogeye Rd, Prairie Grove, AR 72753-8462 | 2019-08-28 |
| 1386291219 | Sarah Katherine Defries | Social Worker | 102 Sw Larkspur Dr, Walnut Ridge, AR 72476-1736 | 2019-08-26 |
| 1346711181 | Collins Family Services, Pllc | Social Worker | 301 W Searcy St, Heber Springs, AR 72543-3840 | 2018-12-05 |
| 1194201400 | Leshia Fox | Social Worker | 4224 Shuffield Dr, Little Rock, AR 72205-7211 | 2018-07-19 |
| 1144714452 | Kristi Richelle Duff | Social Worker | 2133 Sorrel, Benton, AR 72015-5737 | 2018-06-20 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
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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.