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MR. KEVIN R BLALOCK LCSW, JSOCCP
NPI 1780573477
Social Worker - Clinical in Bowling Green, KY

Active since June 30, 2025PECOS Enrolled
3484 GLEN LILY RD, BOWLING GREEN, KY 42101(334) 441-6165 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Kevin R Blalock Lcsw, Jsoccp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN R BLALOCK LCSW, JSOCCP (NPI 1780573477) is an individual clinical provider in Bowling Green, Kentucky, licensed in Kentucky (258181) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780573477
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KEVIN R BLALOCKCredential: LCSW, JSOCCP
Location Address3484 GLEN LILY RDBowling Green, KY 42101-7849
Mailing Address3484 Glen Lily RdBowling Green, KY 42101-7849 · (334) 441-6165
Phone(334) 441-6165
Sole ProprietorYes
Enumeration DateJune 30, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1780573477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 258181
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3484 GLEN LILY RD, Bowling Green, KY 42101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin R Blalock Lcsw, Jsoccp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Blalock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
859 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Kentucky enrollment
  • 255 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Blalock's NPI number?

The NPI number for Kevin Blalock is 1780573477. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Kevin Blalock located?

Kevin Blalock practices at 3484 Glen Lily Rd, Bowling Green, KY 42101. The listed phone number is (334) 441-6165.

What is Kevin Blalock's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kevin Blalock enrolled in Medicare?

Yes. Kevin Blalock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Blalock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Blalock reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Blalock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Blalock accept?

Health plans from Anthem Blue Cross and Blue Shield list Kevin Blalock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Blalock was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.