Individual provider · Type 1 NPI

Kim Natalie Blocker, CASAC-T

Peer Specialist · Flushing, NY

NPI number 1104298462 Active

Practice location

14202 20th Ave
Flushing, NY 11351-3000

Mailing address

14927 117th St
South Ozone Park, NY 11420-3906

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1104298462

Kim Natalie Blocker, CASAC-T's National Provider Identifier is 1104298462, issued on Oct 27, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Flushing, NY. The record was last updated on Oct 27, 2015.