MEDICARE: SANFORD SHEA EDWIN WINFREY BSW, CAT, CPFS

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	101Y00000X	Counselor	ACA0008417	CO

General Provider Information

NPI Number	:	1295678118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANFORD SHEA EDWIN WINFREY BSW, CAT, CPFS

Provider Business Mailing Address
First Line	:	12820 PORCUPINE LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80908-3510
Country	:	US
Telephone Number	:	760-533-9968
Fax Number	:

Provider Business Practice Location Address
First Line	:	12820 PORCUPINE LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80908-3510
Country	:	US
Telephone Number	:	760-533-9968
Fax Number	:

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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