NPI 1013142991

Jessica Blake, LISW

Practitioner Clinical Social Worker Cedar Rapids, IA

Practice location

Address: 3100 E Ave NW Suite 101, Cedar Rapids, IA 52405-2962
Phone: (319) 396-1066

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 06700 (IA)

Other Social Worker providers in Iowa →

Registry record

NPI: 1013142991
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2009
Record last updated: 21 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.