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NPI Code Detail

MEDICARE: MR. TODD MERENDINO LCSW

MEDICARE: MR. TODD MERENDINO LCSW
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
11041C0700XClinical Social Worker9929973CO

General Provider Information

NPI Number : 1194948240
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TODD MERENDINO LCSW
Provider Business Mailing Address
First Line : 3201 S TAMARAC DR
Second Line :
City : DENVER
State : CO
Zip : 80231-4360
Country : US
Telephone Number : 720-248-4656
Fax Number :
Provider Business Practice Location Address
First Line : 3201 S TAMARAC DR
Second Line :
City : DENVER
State : CO
Zip : 80231-4360
Country : US
Telephone Number : 720-248-4656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 01/09/2025

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