Individual provider Active NPI

Lisa Marie Blohm, LCSW

  • Clinical Social Worker
  • Victoria, TX
National Provider Identifier
1093696866
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
41462 Issued in TX
Practice address
1501 E Mockingbird LN Ste 262
Victoria, TX 77904-2194
Phone
(361) 570-8900
Fax
(361) 570-8903
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 41462 TX Primary

Addresses

Primary practice location

1501 E Mockingbird LN Ste 262
Victoria, TX 77904-2194

Mailing address

1501 E Mockingbird LN Ste 262
Victoria, TX 77904-2194
Phone (361) 570-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20251026000063 TX Practitioner - Clinical Social Worker 8426547928 Practice locations: Victoria, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 E Mockingbird LN
Suite 262
Victoria, TX 77904-2194
Phone (361) 570-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41462TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1093696866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E MOCKINGBIRD LN STE 262",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042194",
            "telephone_number": "361-570-8900",
            "fax_number": "361-570-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E MOCKINGBIRD LN STE 262",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042194",
            "telephone_number": "361-570-8900",
            "fax_number": "361-570-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOHM",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "41462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.