STACEY BLOMGREN LICSW
NPI 1962388587
Social Worker - Clinical in Mobile, AL

Active since August 12, 2025PECOS Enrolled
4211 GOVERNMENT BLVD, MOBILE, AL 36693(251) 277-2137 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stacey Blomgren Licsw NPPES

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

STACEY BLOMGREN LICSW (NPI 1962388587) is an individual clinical provider in Mobile, Alabama, licensed in Alabama (2396C) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1962388587
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACEY BLOMGRENCredential: LICSW
Location Address4211 GOVERNMENT BLVDMobile, AL 36693-4813
Mailing Address4211 Government BlvdMobile, AL 36693-4813 · (251) 277-2137
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1962388587 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 AL · 2396C
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.
4211 GOVERNMENT BLVD, Mobile, AL 36693

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 Blomgren Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981101672
PECOS Enrollment IDI20251008003091
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 Stacey Blomgren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
6908 PROVIDENCE PARK DR S
Mobile, AL 36695
  • Reassigned Medicare billing, Alabama enrollment
  • 214 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 36693 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 $52.65 – $161.63
Typical copayment $0.00 (range $13.16 – $40.40)
Most-billed visit code NA
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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 11

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

Marriage & Family Therapist
4211 GOVERNMENT BLVD
MOBILE, AL 36693
Counselor (Professional)
4211 GOVERNMENT BLVD
MOBILE, AL 36693
Social Worker (Clinical)
4211 GOVERNMENT BLVD
MOBILE, AL 36693
Social Worker (Clinical)
4211 GOVERNMENT BLVD
MOBILE, AL 36693
Social Worker (Clinical)
4211 GOVERNMENT BLVD
MOBILE, AL 36693
Social Worker (Clinical)
4211 GOVERNMENT BLVD
MOBILE, AL 36693
Counselor (Mental Health)
4211 GOVERNMENT BLVD
MOBILE, AL 36693
Marriage & Family Therapist
4211 GOVERNMENT BLVD
MOBILE, AL 36693

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 Blomgren's NPI number?

The NPI number for Stacey Blomgren is 1962388587. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Stacey Blomgren located?

Stacey Blomgren practices at 4211 Government Blvd, Mobile, AL 36693. The listed phone number is (251) 277-2137.

What is Stacey Blomgren's specialty?

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

Is Stacey Blomgren enrolled in Medicare?

Yes. Stacey Blomgren is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Blomgren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Blomgren reassigns Medicare benefits to Altapointe Health Systems, Inc. (Mobile, AL). 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 Blomgren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Blomgren accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Stacey Blomgren 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 Blomgren was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.