Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE BLAKE, LCSW
ActiveKATIE BLAKE, LCSW is a Clinical Social Worker healthcare provider located in SANTA ROSA, California. NPI 1104375393 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SANTA ROSA, CA
Registration Details
- NPI Number
- 1104375393
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2016 (9.855250722384 yrs)
- Last Updated
- Apr 13, 2023
- License
-
93792 (CA)
Practice Information
- Address
-
2225 CHALLENGER WAYSANTA ROSA, CA, 954075441Browse CA providers · Browse ZIP 95407
- Phone
- 7074830588
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. KITTI JEAN PERRY | L.C.S.W. | 1710964630 |
| ANDREW WEISSKOFF | LCSW | 1316953193 |
| MS. KATHRYN D KING | LCSW | 1306854906 |
| MS. ROZALIA LEE DAGUE | LCSW | 1245242593 |
| MS. BARBARA ANN GOODRIDGE | LCSW #5783 | 1104939081 |
| MS. GALA PATRICE GOODWIN | LCSW | 1437268166 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.