Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. McKenzie Lauree Blom, LCSW-ASSOCIATE

Individual provider Clinical Social Worker · NPI 1992674881

Mrs. McKenzie Lauree Blom, LCSW-ASSOCIATE is a Clinical Social Worker in Surf City, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

95 H20 Pl Ste 2&3
Surf City, NC 28445
Phone: (910) 375-1565
Fax: (000) 000-0000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P023063 (NC)

Record details

NPI number1992674881
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-ASSOCIATE
Sole proprietorYes
NPI enumeratedOctober 30, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 14, 2025

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