KARLY BZALEL (LCSW) – Clinical Social Worker, NPI 1063115541

KARLY BZALEL (LCSW) is a healthcare provider. based in Canon city, Colorado. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW.09929132 (CO). The NPI Number for KARLY BZALEL (LCSW) is 1063115541

Main info

Female
6 Years Of Experience
Name
KARLY BZALEL (LCSW)
NPI
1063115541
Phone
(719) 275-2351
Address
3225 INDEPENDENCE RD
Enumeration Date
23 March 2023
Last Update Date
10 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7197830566
Graduation Year
2020 (6 years ago)
PAC ID
3173050515
Group Practice PAC ID
0042102733
Professional Enrollment ID
I20241223002863
Address ID
CO812528309WE511XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,884 CLINICAL SOCIAL WORKER in CO

Provider Addresses for KARLY BZALEL (LCSW)

  • 3225 INDEPENDENCE RD

    CANON CITY, CO 812129380

    Phone: (719) 275-2351

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241223002863IClinical Social WorkerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042102733View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to KARLY BZALEL (LCSW)?
NPI 1063115541 is assigned to KARLY BZALEL (LCSW) under the national enumeration system.
Does this profile mean KARLY BZALEL (LCSW) is currently active?
Yes — KARLY BZALEL (LCSW) appears active in the national provider directory.
Does KARLY BZALEL (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for KARLY BZALEL (LCSW). Clinical services aligned with this taxonomy classification.
What location shows for KARLY BZALEL (LCSW)?
We surface Canon City, Colorado for KARLY BZALEL (LCSW) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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