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

Kristen Nicole Blake

Individual provider Case Manager/Care Coordinator · NPI 1366016669

Kristen Nicole Blake is a Clinical Social Worker in Tulsa, Oklahoma. Qualified in 2022, 4 years ago. Practices with Family and Children's Services, Inc, a 65-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2325 S Harvard Ave
Tulsa, OK 74114-3300
Phone: (918) 712-4301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X (OK)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1366016669
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2021
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Family And Children'S Services, Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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