Individual provider · Type 1 NPI
Latonia S. Grissom-Blue (pollard), LMSW- CLINICAL
Clinical Social Worker · Clovis, NM
Practice location
1105 Purdue Ave
Clovis, NM 88101-5342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6801119307 (MI) |
| Social Worker | 104100000X | M-08035 (NM) |
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…
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About NPI 1033460373
Latonia S. Grissom-Blue (pollard), LMSW- CLINICAL's National Provider Identifier is 1033460373, issued on Sep 26, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clovis, NM. The record was last updated on May 11, 2026.