Individual provider · Type 1 NPI

Vicki Arlene Blaize, LCSW

Clinical Social Worker · Gulfport, MS

NPI number 1134731102 Active

Practice location

1617 25th Ave # 203
Gulfport, MS 39501-2834

Call (228) 325-5855 Map

Mailing address

PO Box 7707
Diberville, MS 39540-7602

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XCSW.09929625 (CO)
Clinical Social Worker Primary 1041C0700XC8095 (MS)

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 1134731102

Vicki Arlene Blaize, LCSW's National Provider Identifier is 1134731102, issued on Aug 20, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gulfport, MS. The record was last updated on Oct 12, 2023.