Individual provider Active NPI

Kalab Blake Frisby, MPA, MSW, LICSW

  • Clinical Social Worker
  • Bellingham, WA
National Provider Identifier
1124780952
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61497177 Issued in WA
Practice address
2608 Kwina Rd
Bellingham, WA 98226-9291
Phone
(360) 312-2000
NPI assigned
Oct 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW61497177 WA
Clinical Social Worker 1041C0700X LW61497177 WA Primary

Addresses

Primary practice location

2608 Kwina Rd
Bellingham, WA 98226-9291

Mailing address

2608 Kwina Rd
Bellingham, WA 98226-9291

Other practice location 1

8844 Benson Rd
Lynden, WA 98264-9787
Phone (360) 318-0260

Other practice location 2

2211 Rimland Dr Ste 320
Bellingham, WA 98226-6014
Phone (360) 752-5175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240430003024 TX Practitioner - Clinical Social Worker 0244670867 Reassigns benefits to 1 organization
I20250930003790 WA Practitioner - Clinical Social Worker 0244670867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

3015 Squalicum Pkwy
Bellingham, WA 98225-1906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61497177WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lummi Indian Business Council CurrentSince Mar 14, 2024 Accepting new patients
Peacehealth CurrentSince Sep 1, 2025 Accepting new patients
Lummi Indian Business Council CurrentSince Mar 14, 2024 Accepting new patients
Sea Mar Community Health Centers PastSince Feb 9, 2025 Accepting new patients
Sea-Mar Community Health Center PastSince Oct 1, 2021 Accepting new patients

Locations

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

2592 Kwina Rd
Bellingham, WA 98226
Phone (360) 312-2000

2211 Rimland Dr
Ste 320
Bellingham, WA 98226
Phone (360) 756-4805

8844 Benson Rd
Lynden, WA 98264
Phone (360) 318-0260

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1124780952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 KWINA RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 KWINA RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269291",
            "telephone_number": "360-312-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8844 Benson Rd",
            "address_purpose": "LOCATION",
            "city": "Lynden",
            "state": "WA",
            "postal_code": "982649787",
            "country_code": "US",
            "telephone_number": "360-318-0260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Rimland Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982266014",
            "country_code": "US",
            "telephone_number": "360-752-5175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRISBY",
        "first_name": "KALAB",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "credential": "MPA, MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-08",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW61497177",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61497177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.