MEDICARE: DAVID DOWELL M.S.W.

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	985055	CO

General Provider Information

NPI Number	:	1528010030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID DOWELL M.S.W.

Provider Business Mailing Address
First Line	:	5 WHITE ALDER
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80127-3598
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 S PIERCE ST
Second Line	:	STE 100C
City	:	LITTLETON
State	:	CO
Zip	:	80128-7204
Country	:	US
Telephone Number	:	303-312-1330
Fax Number	:	303-904-2374

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	08/02/2019

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