Individual provider · Type 1 NPI

Holli Blake, LCSW

Clinical Social Worker · Wasilla, AK

NPI number 1417518143 Active

Practice location

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083

Call (907) 631-7800 Map

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X155725 (AK)

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 1417518143

Holli Blake, LCSW's National Provider Identifier is 1417518143, issued on Jun 24, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wasilla, AK. The record was last updated on Jan 7, 2025.