Active NPI
Kristine Delynn Drake, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1811277189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 35289
- Practice address
- 5017 Arlington Ave
Los Angeles, CA 90043-1945 - Phone
- (575) 635-2544
- NPI assigned
- Aug 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C08665 | NM | |
| Clinical Social Worker | 1041C0700X | 35289 | MN | Primary |
Addresses
Primary practice location
5017 Arlington Ave
Los Angeles, CA 90043-1945
Mailing address
5017 Arlington Ave
Los Angeles, CA 90043-1945
Phone (575) 635-2544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32924526 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35289 | MN | MD | Clinical Social Worker |
| C08665 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shadow & Chocolate Consulting by Kristine Drake | Social Worker | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- kristinedrake@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Social Worker
- Las Cruces, NM
- NPI 1801788427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1811277189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5017 ARLINGTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900431945",
"telephone_number": "575-635-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5017 ARLINGTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900431945",
"telephone_number": "575-635-2544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "KRISTINE",
"middle_name": "DELYNN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C08665",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "35289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32924526",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.