Lisa Jolene Blake
Lisa Jolene Blake is a Clinical Social Worker in Riverdale, Utah. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 6
- Licensed in
- UT
- In the registry since
- 2020
Practice location Address checks out
4933 S 1500 W Ste 200Riverdale, UT 84405-7738
Phone: (385) 427-1072
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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 6306212-3501 (UT) |
|---|
Record details
| NPI number | 1376177584 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 26, 2020 |
| Last updated in NPPES | March 5, 2023 |
| Certification date | March 5, 2023 |
| Mailing address | 1314 24th St, Ogden, UT 84401-2902 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Riverdale
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B. Shane Harmon LCSW, LLC
5149 S 1500 W, Riverdale, UT 84405-3926 · (801) 475-0402
-
Ashlyn Joy Bird
4933 S 1500 W Ste 110, Riverdale, UT 84405-7738 · (385) 330-2818
-
Cheryl Kelstrom-Smith LCSW, LLC
5149 S 1500 W, Riverdale, UT 84405-3926 · (801) 475-0402
-
Marissa Breann Clark
4933 S 1500 W Ste 200, Riverdale, UT 84405-7738 · (385) 330-2818
-
Mr. B. Shane Harmon, LCSW
5149 S 1500 W, Riverdale, UT 84405-3926 · (801) 475-0402
-
Holbrook Behavioral Counseling LLC
5137 S 1500 W, Riverdale, UT 84405-3926 · (801) 888-3542