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NPI Code Detail

MEDICARE: MS. CAROLYN JEAN MCINTURFF LCSW

MEDICARE: MS. CAROLYN JEAN MCINTURFF LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW000354GA

General Provider Information

NPI Number : 1215926225
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLYN JEAN MCINTURFF LCSW
Provider Business Mailing Address
First Line : 1650 COCHRANE CIR
Second Line : BLDG. 7503, CAFAC ROOM 1209
City : FORT CARSON
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 719-526-4932
Fax Number : 719-526-0608
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR
Second Line : BLDG. 7503, CAFAC ROOM 1209
City : FORT CARSON
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 719-526-4932
Fax Number : 719-526-0608
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 03/22/2026

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