MEDICARE: JANESSA N. SCHUELER 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.09927260	CO

General Provider Information

NPI Number	:	1720744055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANESSA N. SCHUELER LCSW

Provider Business Mailing Address
First Line	:	2770 S ELMIRA ST UNIT 21
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-3920
Country	:	US
Telephone Number	:	720-224-2315
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 E FLORIDA AVE STE 640
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-2544
Country	:	US
Telephone Number	:	720-224-2315
Fax Number	:

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

Provider Enumeration Date	:	11/10/2021
Last Update Date	:	11/10/2021

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