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General NPI Number Information
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NPI Number | 1184057358
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Entity Type | Individual
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Provider Name | MICHELLE K OHDE LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 31207 KEATS WAY STE 202
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City | EVERGREEN
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State | CO
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Zip | 80439-2220
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Country | US
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Telephone | 303-838-7552
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Fax |
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Provider Business Mailing Address
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Address Line | 4851 INDEPENDENCE ST. SEE ABOVE
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-6715
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Country | US
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Telephone | 303-425-0300
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.0021134
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I1500088
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09928451
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License Number State | CO
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