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NPI Code Detail

MEDICARE: DR. CALLICO SUNSHINE JONES DSW, LCSW,

MEDICARE:  DR. CALLICO SUNSHINE JONES  DSW, 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 WorkerCSW.09932784CO

General Provider Information

NPI Number : 1225710247
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CALLICO SUNSHINE JONES DSW, LCSW,
Provider Business Mailing Address
First Line : 2343 W 19TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-5125
Country : US
Telephone Number : 719-977-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2343 W 19TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-5125
Country : US
Telephone Number : 719-977-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2023
Last Update Date : 03/19/2026

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Directions to “ DR. CALLICO SUNSHINE JONES DSW, LCSW,” Practice Location

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