Caleb Matthew Blaize, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2022004384 Issued in MO

Practice address

441 NW W Hwy
Kingsville, MO 64061-9117

Phone

(816) 308-0246

NPI assigned

Dec 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Country Crossroads Counseling LLC 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Country Crossroads Counseling LLC

  • Counselor
  • Kingsville, MO
  • NPI 1952705444

  MO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1407327463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 NW W HWY",
            "city": "KINGSVILLE",
            "state": "MO",
            "postal_code": "640619117",
            "telephone_number": "816-308-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 NW W HWY",
            "city": "KINGSVILLE",
            "state": "MO",
            "postal_code": "640619117",
            "telephone_number": "816-308-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIZE",
        "first_name": "CALEB",
        "middle_name": "MATTHEW",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2022004384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Badger
• Allison Baker
• Imani Brianna-Lee Baxter
• Katie Marie Becker, LPC
• Rosalind Benson, LMT
• Wendy Shalene Blaylock, MSW, LCSW
• Sarah Caldwell
• Brandin A. Campbell, FNP-C
• Cass Regional Medical Center
• Cass Regional Medical Center

• All providers in Kingsville, MO
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.