MEDICARE: RECOVERYROOM LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1023962115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERYROOM LLC

Provider Business Mailing Address
First Line	:	6277 S URBAN ST
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80127-2390
Country	:	US
Telephone Number	:	303-319-1023
Fax Number	:

Provider Business Practice Location Address
First Line	:	6277 S URBAN ST
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80127-2390
Country	:	US
Telephone Number	:	303-319-1023
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATIE FOSSELIUS
Credential	:	LCSW
Telephone Number	:	303-319-1023

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/24/2026

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Directions to “RECOVERYROOM LLC ” Practice Location

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