Latonia S Grissom-Blue (Pollard), LMSW- CLINICAL

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801119307 Issued in MI

Practice address

1105 Purdue Ave
Clovis, NM 88101-5342

Phone

(806) 598-1114

NPI assigned

Sep 26, 2012

Last updated

May 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Latonia Grissom Blue Former name

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifeline Medical Center

  • Family Medicine Physician
  • Anderson, IN
  • NPI 1265160451

  NM

  Medicare reassignment NPD
• Clovis Municipal Schools

  • Local Education Agency (LEA)
  • Clovis, NM
  • NPI 1174662316
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1033460373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 PURDUE AVE",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 PURDUE AVE",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015342",
            "telephone_number": "806-598-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSOM-BLUE (POLLARD)",
        "first_name": "LATONIA",
        "middle_name": "S",
        "credential": "LMSW- CLINICAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-08035",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATONIA",
            "last_name": "GRISSOM BLUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle N Griego, CF-SLP
• Trina L Griego, ADMI COORD
• Amber Griffin
• Kallie Dawn Griffin
• Melissa A Griffith
• Lasonia Grissom, CITATION PROG COORD
• Beverly Griswold, FNP-BC
• Kim Grooms, LMSW
• Robert Grzywacz, RPH
• Anacarmen Guambana

• Clinical Social Worker in Clovis, NM
• Providers in Clovis, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.