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

Tiffany Nichole Blake, LCSW

Individual provider Mental Health Counselor · NPI 1073042842

Tiffany Nichole Blake, LCSW is a Mental Health Counselor in Riverton, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2017
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

12569 S 2700 W
Riverton, UT 84065-7182
Phone: (801) 209-9797
Fax: (801) 206-3506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11699779-3501 (UT)

Record details

NPI number1073042842
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 6, 2017
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

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