Stacey Blomgren, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2396C Issued in AL

Practice address

4211 Government Blvd
Mobile, AL 36693-4813

Phone

(251) 277-2137

NPI assigned

Aug 12, 2025

Sex

Female

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 AL

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

Mental Health Counselor

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Altapointe Health Systems, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mobile, AL
  • NPI 1518095413
  Medicare reassignment NPD
• Altapointe Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Foley, AL
  • NPI 1003707332
  NPD

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1962388587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 GOVERNMENT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934813",
            "telephone_number": "251-277-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 GOVERNMENT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934813",
            "telephone_number": "251-277-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMGREN",
        "first_name": "STACEY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2396C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Ann Blanton-Goguen, CRNP
• Shannon Blanton
• William E Blaylock, MD
• Thomas Ashton Blessey, M.D.
• Kathleen Louise Bliler, LICSW
• Adele Tydings Bloodworth
• Ashley Blount, MA
• Holli Blount, OTR/L
• Blue Lake Health Springhill, LLC
• Bluebird Pediatric Therapy Services, Inc.

• Clinical Social Worker in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.