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

Lisa Marie Blohm, LCSW

Individual provider Clinical Social Worker · NPI 1093696866

Lisa Marie Blohm, LCSW is a Clinical Social Worker in Victoria, Texas. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1501 E Mockingbird Ln Ste 262
Victoria, TX 77904-2194
Phone: (361) 570-8900
Fax: (361) 570-8903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 41462 (TX)

Record details

NPI number1093696866
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 9, 2025
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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