Individual provider · Type 1 NPI

Samuel Hardy Gilkey

Peer Specialist · San Diego, CA

NPI number 1104786219 Active

Practice location

2865 Logan Ave
San Diego, CA 92113-2411

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-NOTJUY (CA)

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 1104786219

Samuel Hardy Gilkey's National Provider Identifier is 1104786219, issued on Nov 12, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Diego, CA. The record was last updated on Nov 17, 2025.