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NPI Code Detail

MEDICARE: CHARLES JOSEPH ROSICKY LCSW

MEDICARE:   CHARLES JOSEPH ROSICKY  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 Worker993CO

General Provider Information

NPI Number : 1538944574
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES JOSEPH ROSICKY LCSW
Provider Business Mailing Address
First Line : 287 CENTURY CIR STE 100
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-1684
Country : US
Telephone Number : 720-310-8241
Fax Number :
Provider Business Practice Location Address
First Line : 287 CENTURY CIR STE 100
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-1684
Country : US
Telephone Number : 720-310-8241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2023
Last Update Date : 08/29/2023

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Directions to “ CHARLES JOSEPH ROSICKY LCSW” Practice Location

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