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NPI Code Detail

MEDICARE: MS. MELODY STORY LCSW

MEDICARE: MS. MELODY STORY 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 WorkerCSW.09932649CO

General Provider Information

NPI Number : 1265108286
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELODY STORY LCSW
Provider Business Mailing Address
First Line : 1338 N FRANKLIN ST APT 103
Second Line :
City : DENVER
State : CO
Zip : 80218-2437
Country : US
Telephone Number : 631-278-0553
Fax Number :
Provider Business Practice Location Address
First Line : 4455 E 12TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80220-2415
Country : US
Telephone Number : 303-504-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2021
Last Update Date : 02/19/2026

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