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Physician Compare National (NPI:1518183425)

HEALTHCARE PROVIDER: AMY M WINTERS LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1518183425
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1759611650
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20190919000234
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WINTERS
Individual professional last name
Provider First Name AMY
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1993
Individual professional's medical school graduation year
Primary Specialty CLINICAL SOCIAL WORKER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 3393 IRIS AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 208
Group Practice or individual's line 2 address
City BOULDER
Group Practice or individual's city
State CO
Group Practice or individual's state
Zip Code 803011956
Group Practice or individual's zip code (9 digits when available)
Phone Number 3035549800
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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