MRS. AVA LAVON BLALARK (LCSW) – School Social Worker, NPI 1831337807

MRS. AVA LAVON BLALARK (LCSW) is a healthcare provider. based in Villa park, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2246775 (IL). The NPI Number for MRS. AVA LAVON BLALARK (LCSW) is 1831337807

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AVA LAVON BLALARK (LCSW)
NPI
1831337807
Phone
(773) 469-5499
Address
18W101 STANDISH LN
Enumeration Date
29 January 2009
Last Update Date
25 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6307105729
Graduation Year
2006 (20 years ago)
PAC ID
4284928722
Group Practice PAC ID
6507194750
Professional Enrollment ID
I20160808000079
Address ID
IL605234446OA1010XBLVD301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for MRS. AVA LAVON BLALARK (LCSW)

  • 18W101 STANDISH LN

    VILLA PARK, IL 601813644

    Phone: (773) 469-5499

    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: 2016-08-08

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
I20160808000079IClinical Social WorkerILTBD

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 60181)

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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: 6507194750View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What NPI should I save for MRS. AVA LAVON BLALARK (LCSW)?
Save NPI 1831337807 if you need a stable reference for MRS. AVA LAVON BLALARK (LCSW).
Does this profile mean MRS. AVA LAVON BLALARK (LCSW) is currently active?
Yes — MRS. AVA LAVON BLALARK (LCSW) appears active in the national provider directory.
Can you summarize MRS. AVA LAVON BLALARK (LCSW)'s specialty in plain language?
Clinically, the directory lists MRS. AVA LAVON BLALARK (LCSW) with School Social Worker. Clinical services aligned with this taxonomy classification.
Does MRS. AVA LAVON BLALARK (LCSW) practice in Illinois?
You will see Villa Park, Illinois on file for MRS. AVA LAVON BLALARK (LCSW) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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