Individual provider · Type 1 NPI

Jesse L. Blake, MSW, LISW, LCSW

Clinical Social Worker · Wooster, OH

NPI number 1407322092 Active

Practice location

2000 Noble Dr
Wooster, OH 44691-5353

Other practice locations

  • 40060 National Rd, Bethesda, OH 43719-9763 · (740) 792-0082
  • 53 14th St, Wheeling, WV 26003-3433 · (304) 905-6516

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.2405108 (OH)
Social Worker 104100000XS.1800525-TRNE (OH)
Social Worker 104100000XS.2005362 (OH)

Clinical Social Worker: 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 interpers…

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About NPI 1407322092

Jesse L. Blake, MSW, LISW, LCSW's National Provider Identifier is 1407322092, issued on Oct 22, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wooster, OH. The record was last updated on Aug 7, 2024.