Latonia S Grissom-blue (pollard), LMSW- CLINICAL in Clovis, NM

Latonia S Grissom-blue (pollard), LMSW- CLINICAL is a medicare enrolled "Social Worker - Clinical" provider in Clovis, New Mexico. Her current practice location is 1105 Purdue Ave, Clovis, New Mexico. You can reach out to her office (for appointments etc.) via phone at (806) 598-1114.

Latonia S Grissom-blue (pollard) is licensed to practice in Michigan (license number 6801119307) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033460373.

Contact Information

	Latonia S Grissom-blue (pollard), LMSW- CLINICAL
	1105 Purdue Ave, Clovis, NM 88101-5342
	(806) 598-1114
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Latonia S Grissom-blue (pollard)
Gender	Female
Speciality	Social Worker - Clinical
Location	1105 Purdue Ave, Clovis, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033460373
Provider Enumeration Date: 09/26/2012
Last Update Date: 05/11/2026

Medicare PECOS Information:

PECOS PAC ID: 8325481518
Enrollment ID: I20240205001869

Medical Identifiers

Medical identifiers for Latonia S Grissom-blue (pollard) such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033460373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801119307 (Michigan)	Primary
104100000X	Social Worker	M-08035 (New Mexico)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Latonia S Grissom-blue (pollard) allows following entities to bill medicare on her behalf.

Entity Name	Lifeline Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265160451 PECOS PAC ID: 3678948577 Enrollment ID: O20231107001263

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latonia S Grissom-blue (pollard) is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Latonia S Grissom-blue (pollard), LMSW- CLINICAL 1105 Purdue Ave, Clovis, NM 88101-5342 Ph: () -	Latonia S Grissom-blue (pollard), LMSW- CLINICAL 1105 Purdue Ave, Clovis, NM 88101-5342 Ph: (806) 598-1114

Reviews and Comments

Social Worker in Clovis, NM

Anacarmen Guambana, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 N Main St Ste C, Clovis, NM 88101 Phone: 575-763-2287
Miss Morgan Kendra Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 West D.l. Ingram Ave, Clovis, NM 88103 Phone: 575-904-4135
Elizabeth R Frederick, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1100 W 21st Street, Clovis, NM 88101 Phone: 575-769-2345 Fax: 575-769-9013
Mrs. Katherine N. Hall, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2325 North Main St, Ste C, Clovis, NM 88101 Phone: 575-791-9006
Renita Borders, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 Fax: 575-742-3182
Vickie Marie Hobbs, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1500 Fairmont Ct, Clovis, NM 88101 Phone: 575-714-1742

Latonia S Grissom-blue (pollard), LMSW- CLINICAL - Medicare Clinical Social Worker in Clovis, NM