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MR. SCOTT M BLAISDELL LCSW
NPI 1750549283
Social Worker - Clinical in Long Beach, CA

Active since May 31, 2008PECOS Enrolled
3817 LINDEN AVE, LONG BEACH, CA 90807(562) 883-1516 Get Directions Write a Review

NPPES record last updated: May 31, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Scott M Blaisdell Lcsw NPPES

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

MR. SCOTT M BLAISDELL LCSW (NPI 1750549283) is an individual clinical provider in Long Beach, California, licensed in California (LCS17400) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1989).

NPPES Registry Identity

NPI1750549283
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SCOTT M BLAISDELLCredential: LCSW
Location Address3817 LINDEN AVELong Beach, CA 90807-3414
Mailing Address3817 Linden AveLong Beach, CA 90807-3414 · (562) 883-1516
Phone(562) 883-1516
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1989
Enumeration DateMay 31, 2008
✔ NPI 1750549283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS17400
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.
3817 LINDEN AVE, Long Beach, CA 90807
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Scott M Blaisdell Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365949278
PECOS Enrollment IDI20251007004454
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.

Medicare Billing Reassignment

Medicare enrollment records show Scott Blaisdell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthcare In Action Medical Group
2.8 mi
Internal Medicine
3800 KILROY AIRPORT WAY
Long Beach, CA 90806
  • Reassigned Medicare billing, California enrollment
  • 16 clinicians in this Medicare group
NPI 1881360758 (617) 407-9515

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90807 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Scott Blaisdell's NPI number?

The NPI number for Scott Blaisdell is 1750549283. It was assigned to this individual provider in the NPPES registry on May 31, 2008.

Where is Scott Blaisdell located?

Scott Blaisdell practices at 3817 Linden Ave, Long Beach, CA 90807. The listed phone number is (562) 883-1516.

What is Scott Blaisdell's specialty?

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

Is Scott Blaisdell enrolled in Medicare?

Yes. Scott Blaisdell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Scott Blaisdell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Blaisdell reassigns Medicare benefits to Healthcare In Action Medical Group (Long Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Blaisdell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Scott Blaisdell was last updated on May 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.