Janie Katherine Blake, SOCIAL WORKER

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW599 Issued in FL

Practice address

4431 Davie Road Aka 64TH Avenue
Suite 105
Davie, FL 33314-3458

Phone

(954) 788-2355

Fax

(954) 781-3551

NPI assigned

May 21, 2008

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1972760585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 NE 15TH STREET",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330628253",
            "telephone_number": "954-788-2355",
            "fax_number": "954-781-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 DAVIE ROAD AKA 64TH AVENUE",
            "address_2": "SUITE 105",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143458",
            "telephone_number": "954-788-2355",
            "fax_number": "954-781-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "JANIE",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "SW599",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Ariela Bird
• Nurit Bittner, DDS MS
• Gregory Scott Black, O.D.
• Mary Blackinton, P.T.
• Melissa Jayne Blackstone
• Jonathan Isaac Blake, DPT
• Kimberly Blaker-Smith, M.S.P.T.
• Auguslene Blanc
• Crystal Blanc
• Blanca Palencia-Kerr, PH.D., P.a.

• Social Worker in Davie, FL
• Providers in Davie, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.