MEDICARE: MS. ANNMARIE COLLINS

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	CW026914	PA

General Provider Information

NPI Number	:	1174318802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNMARIE COLLINS

Provider Business Mailing Address
First Line	:	1200 N GRANT ST APT 202
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-2376
Country	:	US
Telephone Number	:	215-771-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 N GRANT ST APT 202
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-2376
Country	:	US
Telephone Number	:	215-771-1900
Fax Number	:

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

Provider Enumeration Date	:	04/12/2025
Last Update Date	:	12/30/2025

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