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

Kyle Andrew Blake, LCSW

Individual provider Clinical Social Worker · NPI 1720559107

Kyle Andrew Blake, LCSW is a Clinical Social Worker in Los Angeles, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
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

11500 Nimitz Ave
Los Angeles, CA 90049-3566
Phone: (424) 832-8442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10918 Hesperia Rd, Hesperia, CA 92345-2151 — (760) 490-6484

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW76408 (CA)

Record details

NPI number1720559107
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 11, 2018
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

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