Healthcare Provider Details

I. General information

NPI: 1811823412
Provider Name (Legal Business Name): ZOE TESSER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 ACOMA ST UNIT 403
DENVER CO
80223-1168
US

IV. Provider business mailing address

360 ACOMA ST UNIT 403
DENVER CO
80223-1168
US

V. Phone/Fax

Practice location:
  • Phone: 314-780-6639
  • Fax:
Mailing address:
  • Phone: 314-780-6639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09933260
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: