SearchColorado1041C0700X

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 Centers
Inferred 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