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

Individual provider Clinical Social Worker · NPI 1780730101

Jason Josef Blake, LCSW is a Clinical Social Worker in Loves Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

7124 Windsor Lake Pkwy Ste # 10
Loves Park, IL 61111-3800
Phone: (815) 988-3142
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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 (IL)

Record details

NPI number1780730101
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 26, 2007
Last updated in NPPESJuly 8, 2007

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