Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN R BLALOCK, LCSW, JSOCCP
Active Sole ProprietorMR. KEVIN R BLALOCK, LCSW, JSOCCP is a Clinical Social Worker healthcare provider located in BOWLING GREEN, Kentucky. NPI 1780573477 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BOWLING GREEN, KY
Registration Details
- NPI Number
- 1780573477
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2025 (1.0986677909129 yrs)
- Last Updated
- Jun 30, 2025
- License
-
258181 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3484 GLEN LILY RDBOWLING GREEN, KY, 421017849Browse KY providers · Browse ZIP 42101
- Phone
- 3344416165
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BOWLING GREEN, KY
| Name | Credential | NPI |
|---|---|---|
| MR. EDWIN A. HANNA | LCSW | 1134129471 |
| JEREMY PAUL CATRON | LCSW | 1962479675 |
| MRS. MARY M KENNEDY | LCSW | 1972563757 |
| WANDA EUBANK | LCSW, RN | 1790734556 |
| DR. PATRICIA LOUISE DESROSIERS | LCSW | 1497793483 |
| JAMI S HUGHES | LCSW | 1205870680 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.