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

Mr. Scott M Blaisdell, LCSW

Individual provider Clinical Social Worker · NPI 1750549283

Mr. Scott M Blaisdell, LCSW is a Clinical Social Worker in Long Beach, California. Graduated from State University of New York at Stony Brook, School of Medicine in 1989, 37 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
37
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
CA
In the registry since
2008
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

3817 Linden Ave
Long Beach, CA 90807-3414
Phone: (562) 883-1516
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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 LCS17400 (CA)

Record details

NPI number1750549283
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 31, 2008
Last updated in NPPESMay 31, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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