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

Stacey Blomgren, LICSW

Individual provider Clinical Social Worker · NPI 1962388587

Stacey Blomgren, LICSW is a Mental Health Counselor in Mobile, Alabama. Qualified in 2002, 24 years ago. Licensed in Alabama.

Years since qualifying
24
Licensed in
AL
In the registry since
2025
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

4211 Government Blvd
Mobile, AL 36693-4813
Phone: (251) 277-2137
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 2396C (AL)

Record details

NPI number1962388587
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address4211 Government Blvd, Mobile, AL 36693-4813

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated

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