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VICKI ARLENE BLAIZE LCSW
NPI 1134731102
Social Worker - Clinical in Gulfport, MS

Active since August 20, 2020PECOS EnrolledAccepts Medicare Assignment
1617 25TH AVE # 203, GULFPORT, MS 39501(228) 325-5855 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2023, Aug 20, 2020 (2 updates tracked since 2020).

About Vicki Arlene Blaize Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICKI ARLENE BLAIZE LCSW (NPI 1134731102) is an individual clinical provider in Gulfport, Mississippi, licensed in Mississippi (C8095) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1134731102
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVICKI ARLENE BLAIZECredential: LCSW
Location Address1617 25TH AVE # 203Gulfport, MS 39501-2834
Mailing AddressPo Box 7707Diberville, MS 39540-7602 · (228) 325-5855
Phone(228) 325-5855
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 20, 2020
Last NPPES UpdateOctober 12, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
✔ NPI 1134731102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MS · C8095✔ Licensed in CO · CSW.09929625
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1617 25TH AVE # 203, Gulfport, MS 39501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vicki Arlene Blaize Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365847142
PECOS Enrollment IDI20210817001182
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $51.65 – $159.18
Typical copayment $0.00 (range $12.91 – $39.79)
Most-billed visit code NA
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLUE HARBOR COUNSELING SERVICES, L.L.C.
Community/Behavioral Health
1617 25TH AVE # 203
GULFPORT, MS 39501
Harrison County (228) 255-8553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vicki Blaize's NPI number?

The NPI number for Vicki Blaize is 1134731102. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Vicki Blaize located?

Vicki Blaize practices at 1617 25th Ave # 203, Gulfport, MS 39501. The listed phone number is (228) 325-5855.

What is Vicki Blaize's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Vicki Blaize enrolled in Medicare?

Yes. Vicki Blaize is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vicki Blaize accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Vicki Blaize as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vicki Blaize was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.