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NPI Code Detail

MEDICARE: EMILY BALCH LCSW

MEDICARE: EMILY BALCH 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 Worker9923391

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922436385
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY BALCH LCSW
Provider Business Mailing Address
First Line : 10791 KITTY DR STE A
Second Line :
City : CONIFER
State : CO
Zip : 80433-7748
Country : US
Telephone Number : 720-805-6575
Fax Number :
Provider Business Practice Location Address
First Line : 10791 KITTY DR STE A
Second Line :
City : CONIFER
State : CO
Zip : 80433-7748
Country : US
Telephone Number : 720-805-6575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2013
Last Update Date : 07/28/2023

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