Lisa Jolene Blake, - Clinical Social Worker in Riverdale, UT

Lisa Jolene Blake, is a Social Worker - Clinical based in Riverdale, Utah. Lisa Jolene Blake is licensed to practice in Utah (license number 6306212-3501) and her current practice location is 4933 S 1500 W Ste 200, Riverdale, Utah. She can be reached at her office (for appointments etc.) via phone at (385) 427-1072.

NPI number for Lisa Jolene Blake is 1376177584 and her current mailing address is 1314 24th St, Ogden, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376177584.

Contact Information

Lisa Jolene Blake,
4933 S 1500 W Ste 200,
Riverdale, UT 84405-7738
(385) 427-1072
Not Available



Healthcare Provider's Profile

Full NameLisa Jolene Blake
GenderFemale
SpecialitySocial Worker - Clinical
Location4933 S 1500 W Ste 200, Riverdale, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376177584
  • Provider Enumeration Date: 02/26/2020
  • Last Update Date: 03/05/2023

Medical Identifiers

Medical identifiers for Lisa Jolene Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376177584NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6306212-3501 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Jolene Blake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Jolene Blake,
1314 24th St,
Ogden, UT 84401-2902

Ph: (801) 695-5057
Lisa Jolene Blake,
4933 S 1500 W Ste 200,
Riverdale, UT 84405-7738

Ph: (385) 427-1072

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› Verified 9 days ago


Social Worker in Riverdale, UT

Abree Mize,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5125 S 1500 W, Riverdale, UT 84405
Phone: 801-719-9410    
Shaylynn Lambert, LCSW/BCABA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5202 Freeway Park Dr, Riverdale, UT 84405
Phone: 801-255-5131    Fax: 801-255-5131
Leticia Soares Tomaz, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5125 S 1500 W, Riverdale, UT 84405
Phone: 801-875-2892    
Mr. B. Shane Harmon, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 5149 S 1500 W, Riverdale, UT 84405
Phone: 801-475-0402    Fax: 801-475-7464

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