Healthcare Provider Details

I. General information

NPI: 1013848431
Provider Name (Legal Business Name): ABIGAIL ROSE AMSCHWAND MSW, SW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4115 BOARDWALK DR
FORT COLLINS CO
80525-5945
US

IV. Provider business mailing address

4115 BOARDWALK DR
FORT COLLINS CO
80525-5945
US

V. Phone/Fax

Practice location:
  • Phone: 970-493-4580
  • Fax: 970-797-2859
Mailing address:
  • Phone: 970-493-4580
  • Fax: 970-797-2859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0000002754
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: