Jarrett Christian Blaize, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C017768 Issued in NC

Practice address

127 W Hargett St Ste 301
Raleigh, NC 27601-1351

Phone

(919) 996-0707

NPI assigned

Jun 24, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoenix Therapeutics, PLLC

  • Clinical Social Worker
  • Garner, NC
  • NPI 1265378046
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1154053684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W HARGETT ST STE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011351",
            "telephone_number": "919-996-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W HARGETT ST STE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011351",
            "telephone_number": "919-996-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIZE",
        "first_name": "JARRETT",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-24",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P017700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Blair
• Kimberley Blair
• Lauren Hailey Blair, LCMHC
• Michael Blair
• Madisen K Blais, LCMHCA, NCC
• Anna Blake
• Cynthia Salmon Blake, LPN
• Terynn Elizabeth Blake, DNP, BSN, RN, CRNA
• Vanessa Lynn Blake, FNP-C
• Blake'S Mobile Medical Labs and Services, LLC

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.