Individual provider · Type 1 NPI

Alex Blake, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1063182020 Active

Practice location

1625 Schrader Blvd
Los Angeles, CA 90028-6213

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	135612 (CA)
Mental Health Counselor	101YM0800X	None listed
Student in an Organized Health Care Education/Training Program	390200000X	None listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1063182020

Alex Blake, LCSW's National Provider Identifier is 1063182020, issued on Sep 20, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 13, 2026.