Individual provider · Type 1 NPI

Kristine D. Blake, L.I.C.S.W.

Clinical Social Worker · Tacoma, WA

NPI number 1457476301 Active

Practice location

Madigan Army Medical Ctr 9040 Jackson Ave
Tacoma, WA 98431-1100

Call (253) 968-4146 Map

Fax (253) 968-4249

Mailing address

Madigan Army Medical Center, 9040 Jackson Avenue
Tacoma, WA 98371-1100

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW00007353 (WA)

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 1457476301

Kristine D. Blake, L.I.C.S.W.'s National Provider Identifier is 1457476301, issued on Mar 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tacoma, WA. The record was last updated on Apr 16, 2019.