MEDICARE: AMELY CASTILLO 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
1	1041C0700X	Clinical Social Worker	CSW.09932663	CO
2	1041C0700X	Clinical Social Worker	6801121356	MI

General Provider Information

NPI Number	:	1700592110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMELY CASTILLO LCSW

Provider Business Mailing Address
First Line	:	5761 PINEY RIVER PL
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-4372
Country	:	US
Telephone Number	:	580-861-2316
Fax Number	:

Provider Business Practice Location Address
First Line	:	5761 PINEY RIVER PL
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-4372
Country	:	US
Telephone Number	:	810-295-1459
Fax Number	:

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

Provider Enumeration Date	:	01/30/2023
Last Update Date	:	01/12/2026

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