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

Kelly Blake

Individual provider Social Worker · NPI 1023466026

Kelly Blake is a Social Worker in Sacramento, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

100 Howe Ave Ste 170N
Sacramento, CA 95825-8202
Phone: (415) 296-5290
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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 101468 (CA)
Social Worker Taxonomy 104100000X · Licence 74375 (CA)

Record details

NPI number1023466026
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2016
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021

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