Latonia S. Grissom-Blue (Pollard), LMSW- CLINICAL
NPI 1033460373ActiveIndividual· Social Worker, Clinical· Clovis, NM
Social Worker, Clinical (LMSW- CLINICAL) in Clovis, New Mexico, licensed in MI and NM, with an NPI issued in September 2012. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1033460373 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW- CLINICAL |
| Sole proprietor | No |
| NPI issued | Sep 26, 2012 |
| Last updated in NPPES | May 11, 2026 |
| Certified by provider | May 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801119307 | MI |
| Social Worker | 104100000X | M-08035 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NM) |
|---|
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