Search › Colorado › 1041C0700X
Katie Blickenderfer, MSW, LCSW
NPI 1942439138 · on the registry since 2009
Practice
- Address
- 875 W Moreno Ave
Colorado Springs, CO 80906 - Phone
- (719) 572-6200
- Fax
- (719) 572-6299
- Organisation at this address
- Diversus Health Inc
Diversus Health Inc
Diversus Health Inc
Genoa Healthcare Llc
Peak Vista Community Health CentersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 158
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041S0200X
104100000X
104100000X - Licence states on file
- IA, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado