Nancy Blake, LCSW
Social Worker, Clinical in Upper Saddle River, NJ. Individual provider (NPI-1).
NPI number1124453378
StatusActive
Last updated in NPPESSep 6, 2013
Details
- NPI
- 1124453378
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nancy Blake
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2013
- Last updated
- Sep 6, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44sc05512500 | NJ | Yes |
Practice location
69 Oak DrUpper Saddle River, NJ 07458-2214
Phone 201-327-6406 · Fax 201-996-3502
Mailing address
69 Oak DrUpper Saddle River, NJ 07458-2214
Phone 201-327-6406 · Fax 201-996-3502
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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