Healthcare Provider Details

I. General information

NPI: 1720054430
Provider Name (Legal Business Name): DEBORAH ANN SCHOLZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL SOCIAL WORK SERVICE
FORT CARSON CO
80913-4604
US

IV. Provider business mailing address

USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL 1650 COCHRANE CIRCLE ATTN: CREDENTIALS OFFICE
FORT CARSON CO
80913-4604
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-4585
  • Fax: 719-526-0608
Mailing address:
  • Phone: 719-526-7844
  • Fax: 719-526-7984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number991508
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: