Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake A. Stephenson, LISW

Individual provider Behavior Analyst · NPI 1588040356

Blake A. Stephenson, LISW is a Clinical Social Worker in Iowa City, Iowa. Graduated from Saint Louis University School of Medicine in 2014, 12 years ago. Practices with State University of Iowa, a 1,885-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Kansas.

Years since qualifying
12
Trained at
Saint Louis University School of Medicine
Licensed in
IA, KS
In the registry since
2015
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone: (319) 356-4658
Fax: (319) 356-2587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 079022 (IA)
Behavior Analyst Taxonomy 103K00000X · Licence 1-14-16958 (KS)

Record details

NPI number1588040356
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedAugust 4, 2015
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address200 Hawkins Dr, Iowa City, IA 52242-1009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice State University Of Iowa — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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