MRS. AVA LAVON BLALARK


Address: 18w101 Standish Ln, Villa Park, IL 60181-3644
Phone: 7734695499

MRS. AVA LAVON BLALARK (NPI# 1831337807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831337807
Entity Type Individual
Full Name MRS. AVA LAVON BLALARK
Other Name MISS AVA LAVON TURNER
Credential LCSW
Practice Address 18w101 Standish Ln
Villa Park
IL 60181-3644
Practice Telephone 7734695499
Mailing Telephone 7734695499
Enumeration Date 2009-01-29
Last Update Date 2016-07-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
149.017574 IL Behavioral Health & Social Service Providers
Y 1041S0200X Social Worker
Specialization: School
2246775 IL Behavioral Health & Social Service Providers

Office Location

Street Address 18W101 STANDISH LN
City VILLA PARK
State IL
Zip Code 60181-3644

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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

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1306496393 Marie Nagle Social Worker 6316 157th St, Oak Forest, IL 60452-2710 2019-09-12
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1538675244 Mary Elizabeth Hall Social Worker 411 Stave Mill Rd, Murphysboro, IL 62966-4888 2017-12-18
1184133084 Andrea Lynn Geis Social Worker 50 Blackwood Dr, Murphysboro, IL 62966-2937 2017-09-22
1295244242 Amy Elizabeth Prudencio Social Worker 1301 E. Walnut Street, Carbondale, IL 62901 2017-09-21
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Competitor

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City VILLA PARK
Zip Code 60181

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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