Individual provider · Type 1 NPI

Stacey Blomgren, LICSW

Clinical Social Worker · Mobile, AL

NPI number 1962388587 Active

Practice location

4211 Government Blvd
Mobile, AL 36693-4813

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2396C (AL)

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 1962388587

Stacey Blomgren, LICSW's National Provider Identifier is 1962388587, issued on Aug 12, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mobile, AL. The record was last updated on Aug 12, 2025.