Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CARLY SANTOS BLALACK, LCSW, PPS
ActiveMRS. CARLY SANTOS BLALACK, LCSW, PPS is a Clinical Social Worker healthcare provider located in LA MESA, California. NPI 1871801803 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LA MESA, CA
Registration Details
- NPI Number
- 1871801803
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 24, 2010 (15.878772864397 yrs)
- Last Updated
- Aug 21, 2023
- License
-
29364 (CA)
Practice Information
- Address
-
4700 SPRING ST STE 220LA MESA, CA, 919420274Browse CA providers · Browse ZIP 91942
- Phone
- 6196673380
- Fax
- 6196670815
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in LA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| PEGGY MACY | LCSW | 1497749964 |
| MS. RITA K. MCCREREY | LCSW | 1669428157 |
| MR. JOHN RUBEN JIMENEZ | LCSW | 1386685436 |
| MS. MARGARET BOUHER | LCSW | 1013952803 |
| MRS. SANDRA A DORON | LCSW | 1942238290 |
| MS. ELIZABETH DONAHUE-MARUCHEAU | — | 1255356580 |
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.