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

Kendall Blake, LCSW

Individual provider Clinical Social Worker · NPI 1275102055

Kendall Blake, LCSW is a Clinical Social Worker in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
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

1778 Century Blvd NE Ste A
Atlanta, GA 30345-3398
Phone: (202) 352-5891
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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 CSW007008 (GA)

Record details

NPI number1275102055
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 24, 2021
Last updated in NPPESJune 24, 2021
Certification dateJune 24, 2021

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