Vicki Arlene Blaize, LCSW
NPI 1134731102ActiveIndividual· Social Worker, Clinical· Gulfport, MS
Social Worker, Clinical (LCSW) in Gulfport, Mississippi, licensed in MS and CO, with an NPI issued in August 2020. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1134731102 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Aug 20, 2020 |
| Last updated in NPPES | Oct 12, 2023 |
| Certified by provider | Oct 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C8095 | MS |
| Social Worker, Clinical | 1041C0700X | CSW.09929625 | CO |
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 (CO); Practitioner - Clinical Social Worker (MS) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Other Social Worker, Clinical providers in Gulfport
- 1477281327
- 1427933258
- 1376057026
- 1801759717
- 1033844592
- 1093522864
- 1356239339
- 1912624495
- 1609438977
- 1114633971
- 1235694191
- 1528920758