STACEY R BLAYLOCK LCSW
NPI 1790471589
Social Worker - Clinical in Tulsa, OK
About Stacey R Blaylock Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY R BLAYLOCK LCSW (NPI 1790471589) is an individual clinical provider in Tulsa, Oklahoma, licensed in Oklahoma (5795) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacey R Blaylock Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stacey Blaylock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lawton, OK 73505
- Reassigned Medicare billing, Oklahoma enrollment
- 249 clinicians in this Medicare group
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 74132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacey Blaylock's NPI number?
The NPI number for Stacey Blaylock is 1790471589. It was assigned to this individual provider in the NPPES registry on April 13, 2023.
Where is Stacey Blaylock located?
Stacey Blaylock practices at 7127 S Olympia Ave, Tulsa, OK 74132. The listed phone number is (918) 665-9500.
What is Stacey Blaylock's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Stacey Blaylock enrolled in Medicare?
Yes. Stacey Blaylock is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stacey Blaylock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Blaylock reassigns Medicare benefits to Williams Medical Group Practice, LLC (Lawton, OK). 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 Stacey Blaylock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Blaylock accept?
Health plans from Mending Health list Stacey Blaylock 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 Stacey Blaylock was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Stacey R Blaylock, LCSW · NPI 1790471589
Clinical provider in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since April 13, 2023.
## Identity
- **NPI:** 1790471589 (Entity type: Individual)
- **Enumerated:** April 13, 2023
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 5795 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 7127 S OLYMPIA AVE, Tulsa, OK 74132-1856
- **Phone:** (918) 665-9500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Williams Medical Group Practice, LLC (NPI 1346608809, Lawton, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790471589) · Data from the CMS NPPES public registry.