Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154108439 Individual Practitioner Male Practitioner

Jonathan T Blake , LSW

Social Worker • Olyphant, PA

Professional Overview & Biography Verified Profile Summary

Jonathan Blake, LSW is a registered healthcare professional specializing in Social Worker in Olyphant, PA. Practice services are available at 126 WILLOW AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

126 Willow Ave

Olyphant, PA 184471442

Telephone 5703828157
Associated Practice Facility / Clinic
🏢 Fellowship House Llc Facility NPI 1770208571

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Olyphant, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Olyphant, PA (5163 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-11
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License PA SW137924

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 11, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2023

Registered at 126 WILLOW AVE, OLYPHANT, PA 184471442 (Tel: 5703828157)

📍
Updated Business Mailing Address September 11, 2023

Registered at 127 CHURCH ST, DUNMORE, PA 185121907 (Tel: 5708785008)

👤
Provider Name / Credentials Updated September 11, 2023

Recorded as JONATHAN BLAKE, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2023

Social Worker (License #SW137924 in PA)

🟢
Initial NPI Registration & Enumeration September 11, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154108439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2023
Last Update: September 11, 2023
Sole Proprietor: Yes

Mailing Address

127 Church St

Dunmore, PA 185121907

Phone: 5708785008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.