SAMUEL BLICKLE
NPI 1407335870
Social Worker - Clinical in San Francisco, CA

Q: What is Samuel Blickle's NPI number?

The NPI number for Samuel Blickle is 1407335870. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Q: What is Samuel Blickle'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 Samuel Blickle was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 07, 2018

982 MISSION ST, SAN FRANCISCO, CA 94103(415) 597-4958 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Jun 25, 2020, Aug 7, 2018 (3 updates tracked since 2018).

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About Samuel Blickle NPPES

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

SAMUEL BLICKLE (NPI 1407335870) is an individual clinical provider in San Francisco, California, licensed in California (116645) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1407335870

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameSAMUEL BLICKLE

Location Address982 MISSION STSan Francisco, CA 94103-2911

Mailing Address982 Mission StSan Francisco, CA 94103-2911

Phone(415) 597-4958

Sole ProprietorNo

Enumeration DateAugust 7, 2018

Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1407335870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 116645

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.

982 MISSION ST, San Francisco, CA 94103

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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.

CHARLES ZACHARY BERMAN LCSW

Social Worker (Clinical)