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HOLLI BLAKE LCSW
NPI 1417518143
Social Worker - Clinical in Wasilla, AK

Active since June 24, 2019PECOS Enrolled
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654(907) 631-7800 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Holli Blake Lcsw NPPES

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

HOLLI BLAKE LCSW (NPI 1417518143) is an individual clinical provider in Wasilla, Alaska, licensed in Alaska (155725) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417518143
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLI BLAKECredential: LCSW
Location Address1001 S KNIK GOOSE BAY RDWasilla, AK 99654-8083
Mailing Address7033 E Tudor RdAnchorage, AK 99507-1262 · (907) 729-0000
Phone(907) 631-7800
Sole ProprietorNo
Enumeration DateJune 24, 2019
Last NPPES UpdateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1417518143 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 AK · 155725
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.
1001 S KNIK GOOSE BAY RD, Wasilla, AK 99654
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holli Blake Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Holli Blake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southcentral Foundation
Same address
Community/Behavioral Health
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
  • Reassigned Medicare billing, Texas enrollment
  • 459 clinicians in this Medicare group
NPI 1003469719 (907) 631-7800
Alaska Native Tribal Health Consortium
30 mi
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
NPI 1437189339 (907) 563-2662

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $71.33 – $222.64
Typical copayment $0.00 (range $17.83 – $55.66)
Most-billed visit code NA
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SOUTHCENTRAL FOUNDATION
Community/Behavioral Health
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
DR. ELIZABETH C TURGEON M.D.
Family Medicine
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
EMA LUCILLE FIEDLER RDN
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
JAMES HALES FNP-C. FNP-BC,
Nurse Practitioner (Family)
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
JASEN RUSSELL THOMPSON PA-C
Physician Assistant
1001 S KNIK GOOSE BAY RD, PCC WEST
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7851
RAINA PASIEWICZ RD
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
DR. LARA DIANE CHURCH MD
Family Medicine
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
SOUTHCENTRAL FOUNDATION
Hearing Aid Equipment
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 729-8624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holli Blake's NPI number?

The NPI number for Holli Blake is 1417518143. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Holli Blake located?

Holli Blake practices at 1001 S Knik Goose Bay Rd, Wasilla, AK 99654. The listed phone number is (907) 631-7800.

What is Holli Blake's specialty?

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

Is Holli Blake enrolled in Medicare?

Yes. Holli Blake is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Holli Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holli Blake reassigns Medicare benefits to 2 organizations: Southcentral Foundation (Wasilla, AK) and Alaska Native Tribal Health Consortium (Anchorage, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holli Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holli Blake accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Holli Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holli Blake was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.