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MRS. CARLY SANTOS BLALACK LCSW, PPS
NPI 1871801803
Social Worker - Clinical in La Mesa, CA

Active since September 24, 2010PECOS Enrolled
4700 SPRING ST STE 220, LA MESA, CA 91942(619) 667-3380(619) 667-0815 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2023, Feb 20, 2023 (2 updates tracked since 2023).

About Mrs. Carly Santos Blalack Lcsw, Pps NPPES

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

MRS. CARLY SANTOS BLALACK LCSW, PPS (NPI 1871801803) is an individual clinical provider in La Mesa, California, licensed in California (29364) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871801803
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. CARLY SANTOS BLALACKCredential: LCSW, PPS
Location Address4700 SPRING ST STE 220La Mesa, CA 91942-0274
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954 · (916) 576-7900
Phone(619) 667-3380
Fax(619) 667-0815
Sole ProprietorNo
Enumeration DateSeptember 24, 2010
Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1871801803 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 CA · 29364
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.
4700 SPRING ST STE 220, La Mesa, CA 91942
Open in Google Maps ↗

Other Names 1

Professional Name (2)Carly Elisabeth Santos

Secondary Practice Locations 2

Location 12010 Winterwarm DrFallbrook, CA 92028-8257 · Phone (949) 231-8362
Location 2680 Fletcher Pkwy Ste 200El Cajon, CA 92020-2500 · Phone (619) 515-2365

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carly Santos Blalack Lcsw, Pps 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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 $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NITA PAINTAL MD
Psychiatry & Neurology (Psychiatry)
4700 SPRING ST STE 220
LA MESA, CA 91942
San Diego County (855) 501-1004

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 Carly Blalack's NPI number?

The NPI number for Carly Blalack is 1871801803. It was assigned to this individual provider in the NPPES registry on September 24, 2010. The provider is also known as Carly Elisabeth Santos.

Where is Carly Blalack located?

Carly Blalack practices at 4700 Spring St Ste 220, La Mesa, CA 91942. The listed phone number is (619) 667-3380.

What is Carly Blalack's specialty?

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

Is Carly Blalack enrolled in Medicare?

Yes. Carly Blalack is registered in the Medicare PECOS enrollment system.

What insurance does Carly Blalack accept?

Health plans from Providence Health Plan list Carly Blalack 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 Carly Blalack was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.