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

Mr. Jonathan T Blake, LSW

Individual provider Social Worker · NPI 1154108439

Mr. Jonathan T Blake, LSW is a Social Worker in Olyphant, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

126 Willow Ave
Olyphant, PA 18447-1442
Phone: (570) 382-8157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence SW137924 (PA)

Record details

NPI number1154108439
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorYes
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023
Mailing address127 Church St, Dunmore, PA 18512-1907

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