CYNTHIA J. BLAKE (NPI# 1972168326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972168326 |
Entity Type | Individual |
Full Name | CYNTHIA J. BLAKE |
Other Name | CUNTHIA J O'KEEFE |
Credential | LSW |
Practice Address |
Pascack Mental Health 114 Kinderkamack Road Park Ridge NJ 07656 |
Practice Telephone | 2013911355 |
Practice Fax Number | 2013919516 |
Mailing Telephone | 2013911355 |
Mailing Fax Number | 2013919516 |
Enumeration Date | 2019-05-01 |
Last Update Date | 2019-05-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SL06317900 | NJ | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821337247 | Cynthia Blake | Counselor | 105 E Castellano Dr Ste C, El Paso, TX 79912-6436 | 2013-02-05 |
1861463994 | Cynthia J. Blake | Nurse Practitioner | 600 Macinnes Dr, Houghton, MI 49931-1144 | 2006-01-27 |
1558772814 | Cynthia Salmon Blake | Licensed Practical Nurse | 4020 Wake Forest Rd, Suite 201, Raleigh, NC 27609-6866 | 2014-05-08 |
1538373576 | Cynthia E Blake | Occupational Therapy Assistant | 1422 San Marco Blvd, Jacksonville, FL 32207-8536 | 2007-05-09 |
Street Address |
PASCACK MENTAL HEALTH 114 KINDERKAMACK ROAD |
City | PARK RIDGE |
State | NJ |
Zip Code | 07656 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396251500 | Tocia Floris | Licensed Practical Nurse | 2 Lorraine Drive, Park Ridge, NJ 07656 | 2017-12-26 |
1528505625 | Sonal Desai | Registered Nurse | 2 Williams Crest, Park Ridge, NJ 07656 | 2017-01-26 |
1871960484 | Dr. Mark Schwartz, P.a. | Clinic/Center | 308 Chelsea Manor, Park Ridge, NJ 07656 | 2015-08-31 |
1871767194 | Arnold M. Sobel | Anesthesiology | 210 Bearwoods Road, Park Ridge, NJ 07656 | 2008-04-17 |
1548472145 | Deborah Renee Brodt Donnelly | Social Worker | 284 Spring Valley Rd, Park Ridge, NJ 07656 | 2007-05-04 |
1720204720 | Alan Zampieri | Pharmacist | 713 Butternut Dr, Franklin Lakes, NJ 07656 | 2007-04-18 |
1689790198 | Anthony M Riotto | Chiropractor | 128 Kinderkamack Road, Park Ridge, NJ 07656 | 2007-03-22 |
1063584605 | Christine M Ramagnano | Social Worker | 116 Warren Road, Park Ridge, NJ 07656 | 2006-11-15 |
1649647488 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 199 Kinderkamack Rd, Park Ridge, NJ 07656 | 2015-08-27 |
1043637184 | Elana T Clark | Pediatrics | 74 Pascack Rd, Park Ridge, NJ 07656 | 2014-03-26 |
Find all providers in zip 07656 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629680707 | Linda Young | Social Worker | 1520 S Prospect Ave, Park Ridge, IL 60068-5349 | 2020-08-19 |
1154883684 | Garrett Russell Pluhar-schaeffer | Social Worker | 1440 Renaissance Dr Ste 340, Park Ridge, IL 60068-1471 | 2019-04-03 |
1942764196 | Lindsay Recsetar | Social Worker | 929 S Greenwood Ave, Park Ridge, IL 60068-4543 | 2019-01-22 |
1609357656 | Jessica Lydia Tsougranis | Social Worker | 9 King Rd, Park Ridge, NJ 07656-2222 | 2018-08-28 |
1205225877 | Jorge Becerra | Social Worker | 114 Kinderkamack Rd, Park Ridge, NJ 07656-2126 | 2015-01-20 |
1194123703 | John Hurd | Social Worker | 621 S Knight Ave, Park Ridge, IL 60068-4405 | 2014-12-12 |
1801144530 | Kay G Levin | Social Worker | 1775 Ballard Road, Park Ridge, IL 60068 | 2012-08-28 |
1609149780 | Katherine Sikich | Social Worker | 1580 N Northwest Hwy Ste 224, Park Ridge, IL 60068-1468 | 2012-02-20 |
1992020283 | Patrick Breece O'donnell | Social Worker | 2212 Habberton Ave, Park Ridge, IL 60068-1740 | 2010-03-30 |
1356665764 | Veronica Martinez | Social Worker | 1580 N Northwest Hwy Ste 111d, Park Ridge, IL 60068-1465 | 2010-03-15 |
Find all providers in PARK RIDGE |
City | PARK RIDGE |
Zip Code | 07656 |
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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.