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NPI Code Detail

MEDICARE: ASHA LAINE WELLS MSW LCSW

MEDICARE: ASHA LAINE WELLS MSW 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
1171M00000XCase Manager/Care Coordinator
21041C0700XClinical Social WorkerCSW.09925649CO

General Provider Information

NPI Number : 1245540319
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHA LAINE WELLS MSW LCSW
Provider Business Mailing Address
First Line : 19964 HILLTOP RD STE A
Second Line :
City : PARKER
State : CO
Zip : 80134-7316
Country : US
Telephone Number : 303-841-2212
Fax Number : 303-841-4716
Provider Business Practice Location Address
First Line : 55 MADISON ST STE 240
Second Line :
City : DENVER
State : CO
Zip : 80206-5451
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2010
Last Update Date : 09/11/2024

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