MEDICARE: MS. KARIN E COLDEN 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
1	1041C0700X	Clinical Social Worker	LCS 20298	CA

General Provider Information

NPI Number	:	1205282597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARIN E COLDEN LCSW

Provider Business Mailing Address
First Line	:	11552 CREEK RD
Second Line	:
City	:	POWAY
State	:	CA
Zip	:	92064-6113
Country	:	US
Telephone Number	:	858-525-3393
Fax Number	:

Provider Business Practice Location Address
First Line	:	11552 CREEK RD
Second Line	:
City	:	POWAY
State	:	CA
Zip	:	92064-6113
Country	:	US
Telephone Number	:	858-525-3393
Fax Number	:

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

Provider Enumeration Date	:	05/05/2016
Last Update Date	:	05/05/2016

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