Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jamie Blossom, MSW, LISW

Individual provider Social Worker · NPI 1558784058

Jamie Blossom, MSW, LISW is a Clinical Social Worker in Toledo, Ohio. Qualified in 2013, 13 years ago. Licensed in Ohio.

Years since qualifying
13
Licensed in
OH
In the registry since
2014
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

4747 Monroe St
Toledo, OH 43623-4307
Phone: (833) 692-9135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence I.2103159 (OH)

Record details

NPI number1558784058
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LISW
Sole proprietorNo
NPI enumeratedFebruary 4, 2014
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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