MEDICARE: AMELIA ELKINS 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	9924615	CO

General Provider Information

NPI Number	:	1265968812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMELIA ELKINS LCSW

Provider Business Mailing Address
First Line	:	8821 E HAMPDEN AVE
Second Line	:	STE 210
City	:	DENVER
State	:	CO
Zip	:	80231-4959
Country	:	US
Telephone Number	:	720-295-7801
Fax Number	:

Provider Business Practice Location Address
First Line	:	8821 E HAMPDEN AVE
Second Line	:	STE 210
City	:	DENVER
State	:	CO
Zip	:	80231-4959
Country	:	US
Telephone Number	:	720-295-7801
Fax Number	:

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

Provider Enumeration Date	:	05/02/2017
Last Update Date	:	05/02/2017

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