Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holli Blake, LCSW

Individual provider Clinical Social Worker · NPI 1417518143

Holli Blake, LCSW is a Clinical Social Worker in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2019.

Licensed in
AK
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 631-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 155725 (AK)

Record details

NPI number1417518143
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

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