Individual provider · Type 1 NPI

Diane Blake, LCSW

Clinical Social Worker · Pacifica, CA

NPI number 1437502903 Active

Practice location

80 Eureka Sq, Suite 151
Pacifica, CA 94044-2654

Call (650) 713-5224 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 24542 (CA)

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 1437502903

Diane Blake, LCSW's National Provider Identifier is 1437502903, issued on Jul 19, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pacifica, CA. The record was last updated on Sep 29, 2016.