Marci Blanda, LICSW
Individual provider Active NPI Clinical Social Worker · Daphne, AL
NPI 1285322602 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1285322602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 4240C (AL)
- Practice address
- 7101 US Highway 90
Daphne, AL 36526-9512 - Phone
- (251) 517-5800
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Behavioral Health Inc
Practice addresses (Care Compare)
600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231030000151 | AL | Practitioner - Clinical Social Worker | 2860848736 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW18797 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Behavioral Health, Inc. | Clinical | Current |
Accepting new patients |
Locations
600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627
25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW18797 | FL | |
| Clinical Social Worker | 1041C0700X | 4240C | AL | Yes |
Addresses
Primary practice location
7101 US Highway 90
Daphne, AL 36526-9512
Mailing address
7170 US 90
Daphne, AL 36526-6091
Phone (251) 517-5800
Other names
- Marci Justice
Other providers in Daphne, AL
- Ross Harrison Bishop
- Shanda Bishop
- Kimberly Blackmon
- Geoffrey Blake
- Judith Elise Blake
- Kristen Boeckmann
- Gregory Todd Bonds
- Robert Christopher Bondurant
- Lucas Boone
- Joseph Jackson Boyd
All providers in Daphne, AL · Clinical Social Worker in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.