Individual provider · Type 1 NPI

Carly Santos Blalack, LCSW, PPS

Clinical Social Worker · La Mesa, CA

NPI number 1871801803 Active

Practice location

4700 Spring St Ste 220
La Mesa, CA 91942-0274

Call (619) 667-3380 Map

Fax (619) 667-0815

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Other practice locations

  • 2010 Winterwarm Dr, Fallbrook, CA 92028-8257 · (949) 231-8362
  • 680 Fletcher Pkwy Ste 200, El Cajon, CA 92020-2500 · (619) 515-2365

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X29364 (CA)

Clinical Social Worker: 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 interpers…

3 other providers at this address

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About NPI 1871801803

Carly Santos Blalack, LCSW, PPS's National Provider Identifier is 1871801803, issued on Sep 24, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in La Mesa, CA. The record was last updated on Aug 21, 2023.