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

Katie Blake, LCSW

Individual provider Clinical Social Worker · NPI 1104375393

Katie Blake, LCSW is a Clinical Social Worker in Santa Rosa, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
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

2225 Challenger Way
Santa Rosa, CA 95407-5441
Phone: (707) 483-0588
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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 93792 (CA)

Record details

NPI number1104375393
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address1275 4th St # 4011, Santa Rosa, CA 95404-4057

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