Healthcare Provider Details

I. General information

NPI: 1669451043
Provider Name (Legal Business Name): WARREN AOKI LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6541 SPECKER AVE BLDG 1830
FORT CARSON CO
80913-4263
US

IV. Provider business mailing address

1650 COCHRANE CIR UNIT MEDDAC
FORT CARSON CO
80913-4604
US

V. Phone/Fax

Practice location:
  • Phone: 719-503-7868
  • Fax:
Mailing address:
  • Phone: 719-503-7868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3061
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: