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NPI 1609572494

NPI 1609572494 : ALYSSA ESPOSITO LCSW : FORT COLLINS, CO

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General NPI Number Information
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    NPI Number           |    1609572494
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    Entity Type          |    Individual 
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    Provider Name        |    ALYSSA ESPOSITO LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/02/2023
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    363 W DRAKE RD STE 1 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80526-2882
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    Country              |    US
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    Telephone            |    970-484-8427
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    Fax                  |    970-482-8713
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Provider Business Mailing Address
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    Address Line         |    729 REMINGTON ST 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80524-3332
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    Country              |    US
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    Telephone            |    970-484-8427
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    Fax                  |    970-482-8713
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    CSW.09928990
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    License Number State |    CO
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