Katie Blake, LCSW - Medicare Clinical Social Worker in Santa Rosa, CA

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Katie Blake, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Santa Rosa, California. Her current practice location is 2225 Challenger Way, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 483-0588.

Katie Blake is licensed to practice in California (license number 93792) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104375393.

Contact Information

Katie Blake, LCSW
2225 Challenger Way,
Santa Rosa, CA 95407-5441
(707) 483-0588
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKatie Blake
GenderFemale
SpecialitySocial Worker - Clinical
Location2225 Challenger Way, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104375393
  • Provider Enumeration Date: 09/28/2016
  • Last Update Date: 04/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436562345
  • Enrollment ID: I20210114001698

Medical Identifiers

Medical identifiers for Katie Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104375393NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 93792 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katie Blake allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameCounty Of Sonoma
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952637027
PECOS PAC ID: 4688658651
Enrollment ID: O20040616001152

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie Blake is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katie Blake, LCSW
1275 4th St # 4011,
Santa Rosa, CA 95404-4057

Ph: (707) 908-9790		Katie Blake, LCSW
2225 Challenger Way,
Santa Rosa, CA 95407-5441

Ph: (707) 483-0588

Reviews and Comments


Social Worker in Santa Rosa, CA

Mrs. Erin O. Liiv, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1300 N Dutton Ave, Santa Rosa, CA 95401
Phone: 707-303-3600    
Cristina Corey Schroen, LCSW
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Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-571-2536    
Karen Helene Littell, MSW, ASW, PPSC
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 320 10th St Ste 200, Santa Rosa, CA 95401
Phone: 707-299-9132    
Marcelle Dominguez, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 576 B St, Suite 1-b, Santa Rosa, CA 95401
Phone: 707-339-0398    
Mrs. Paula D Shatkin, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1360 N Dutton Ave Ste C, Santa Rosa, CA 95401
Phone: 707-303-1531    Fax: 707-571-8195
David William Mcgahee, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401
Phone: 707-521-4545    
Ms. Jo Ann Conant, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3841 Brickway Blvd, Santa Rosa, CA 95403
Phone: 707-569-2372    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.