MEDICARE: AIDAN TORGERSON

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	CSW.09933249	CO

General Provider Information

NPI Number	:	1124862248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIDAN TORGERSON

Provider Business Mailing Address
First Line	:	655 S SIERRA MADRE ST APT 222
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-4191
Country	:	US
Telephone Number	:	719-304-4890
Fax Number	:

Provider Business Practice Location Address
First Line	:	655 S SIERRA MADRE ST APT 222
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-4191
Country	:	US
Telephone Number	:	719-304-4890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2024
Last Update Date	:	05/26/2026

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Directions to “ AIDAN TORGERSON ” Practice Location

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