| Lisa Jolene Blake, | |
|
4933 S 1500 W Ste 200, Riverdale, UT 84405-7738 | |
| (385) 427-1072 | |
| Not Available |
| Full Name | Lisa Jolene Blake |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4933 S 1500 W Ste 200, Riverdale, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376177584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6306212-3501 (Utah) | Primary |
| Mailing Address | Practice 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 |
Madeline Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4933 S 1500 W Ste 200, Riverdale, UT 84405 Phone: 435-237-1061 | |
Abree Mize, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5125 S 1500 W, Riverdale, UT 84405 Phone: 801-719-9410 | |
Kimberly Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4933 S 1500 W Ste 200, Riverdale, UT 84405 Phone: 801-525-4645 | |
Desie Marie Loveridge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4933 1500 West, Riverdale, UT 84405 Phone: 801-820-6420 | |
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 |