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
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | MPSS-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.