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

Kristine D. Blake, LICSW

Individual provider Clinical Social Worker · NPI 1457476301

Kristine D. Blake, LICSW is a Clinical Social Worker in Tacoma, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

Madigan Army Medical Ctr 9040 Jackson Ave
Tacoma, WA 98431-1100
Phone: (253) 968-4146
Fax: (253) 968-4249
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW00007353 (WA)

Record details

NPI number1457476301
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 20, 2007
Last updated in NPPESApril 16, 2019

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