MEDICARE: MR. NICHOLAS CHRISTIAN MOWES MSW, LICSW

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
1	1041C0700X	Clinical Social Worker	24174	MN

General Provider Information

NPI Number	:	1245589050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NICHOLAS CHRISTIAN MOWES MSW, LICSW

Provider Business Mailing Address
First Line	:	5219 SPOKED WHEEL DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-8737
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5219 SPOKED WHEEL DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-8737
Country	:	US
Telephone Number	:	719-645-6774
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2012
Last Update Date	:	11/12/2025

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