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

Kathleen Helen Blake, LICSW

Individual provider Clinical Social Worker · NPI 1407895923

Kathleen Helen Blake, LICSW is a Clinical Social Worker in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

750 Washington St Box 790
Boston, MA 02111-1526
Phone: (617) 636-7268
Fax: (617) 636-5138
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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 1019545 (MA)

Record details

NPI number1407895923
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESJuly 13, 2026

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