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

Individual provider Social Worker · NPI 1063883544

Mr. Blaine Wilson, LCSW, MED is a Social Worker in New Orleans, Louisiana. Practices as a sole proprietor. Licensed in Louisiana and Pennsylvania.

Licensed in
LA, PA
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

3801 Canal St Ste 220
New Orleans, LA 70119-6084
Phone: (504) 482-2735
Fax: (504) 482-2737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW018726 (PA)
Social Worker Taxonomy 104100000X · Licence 13231 (LA)

Record details

NPI number1063883544
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , MED
Sole proprietorYes
NPI enumeratedOctober 9, 2015
Last updated in NPPESOctober 9, 2015

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