Roxanne Carolyn Blake, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05741200 Issued in NJ

Practice address

198 North Ave E
Cranford, NJ 07016-2469

Phone

(908) 272-0006

NPI assigned

Aug 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blake Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cranford, NJ
  • NPI 1457929861
  NPD Authorized official
• Children's Specialized Hospital

  • Children's Rehabilitation Hospital
  • New Brunswick, NJ
  • NPI 1396886297
  Medicare reassignment
• Barnabas Health Medical Group, PC

  • Specialist
  • West Orange, NJ
  • NPI 1447206420
  NPD
• Trinitas Regional Medical Center

  dba Trinitas Cranford Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cranford, NJ
  • NPI 1518423698
  NPD
• Trinitas Regional Medical Center

  dba Bayonne Community Mental Health Center, a Service of Trinitas Regional

  • Community/Behavioral Health Agency
  • Bayonne, NJ
  • NPI 1538665823
  NPD

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1629596416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609A BRITTON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022716",
            "telephone_number": "857-544-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162469",
            "telephone_number": "908-272-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ROXANNE",
        "middle_name": "CAROLYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05741200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda A Bernot, PT
• Andrew Jay Bernstein, M.D.
• Maria Betancourth, L.A.C
• Arthur Jay Bilenker, D.M.D.
• Blake Counseling Services
• Solomon Boadaa
• Nicole M Bonacci
• Zoe Demare-Wynne Bongiovanni, LCSW
• Alison Bono
• Amy Boos, OT

• Clinical Social Worker in Cranford, NJ
• Providers in Cranford, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.