KELLY BLAKE
NPI 1023466026
Social Worker - Clinical in Sacramento, CA

Q: What is Kelly Blake's NPI number?

The NPI number for Kelly Blake is 1023466026. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Q: What is Kelly Blake's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Blake was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 31, 2016

100 HOWE AVE STE 170N, SACRAMENTO, CA 95825(415) 296-5290 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2021, Nov 9, 2016 (2 updates tracked since 2016).

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About Kelly Blake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY BLAKE (NPI 1023466026) is an individual clinical provider in Sacramento, California, licensed in California (101468) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1023466026

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLY BLAKE

Location Address100 HOWE AVE STE 170NSacramento, CA 95825-8202

Mailing Address100 Howe Ave Ste 170nSacramento, CA 95825-8202 · (916) 831-0462 · Fax (323) 232-2366

Phone(415) 296-5290

Sole ProprietorNo

Enumeration DateMay 31, 2016

Last NPPES UpdateNovember 5, 20212 updates tracked since enumeration

NPPES CertifiedNovember 5, 2021

✔ NPI 1023466026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 101468

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 74375 (CA)

100 HOWE AVE STE 170N, Sacramento, CA 95825

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Maintenance Organization of Florida, Oscar Health Plan, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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