Individual provider · Type 1 NPI

Jason Josef Blake, LCSW

Clinical Social Worker · Loves Park, IL

NPI number 1780730101 Active

Practice location

7124 Windsor Lake Pkwy, Suite # 10
Loves Park, IL 61111-3800

Call (815) 988-3142 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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…

5 other providers at this address

Other clinical social worker providers in Loves Park

See all in Loves Park →

About NPI 1780730101

Jason Josef Blake, LCSW's National Provider Identifier is 1780730101, issued on Jan 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Loves Park, IL. The record was last updated on Jul 8, 2007.