MRS. MCKENZIE LAUREE BLOM LCSW-ASSOCIATE NPI 1992674881

NPI Information

  • NPI: 1992674881
  • Provider Name: MRS. MCKENZIE LAUREE BLOM, LCSW-ASSOCIATE
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 95 H20 PLACE SUITE 2&3
    SURF CITY, NC
    ZIP 28445
  • Phone: (910) 375-1565

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NPI Details

MRS. Mckenzie Lauree Blom, LCSW-ASSOCIATE is a clinical social worker in Surf City, NC. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MRS. Mckenzie Lauree Blom, LCSW-ASSOCIATE NPI is 1992674881. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

95 H20 PLACE SUITE 2&3
SURF CITY, NC
ZIP 28445
Phone: (910) 375-1565
Fax: (000) 000-0000

The enumeration date for this NPI number is 10/30/2025 and was last updated on 10/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalP023063NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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