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NPI Code Detail

MEDICARE: STEPHANIE THERESE WELKER MSW, LCSW

MEDICARE:   STEPHANIE THERESE WELKER  MSW,  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 WorkerCSW09925895CO

General Provider Information

NPI Number : 1346843034
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE THERESE WELKER MSW, LCSW
Provider Business Mailing Address
First Line : 4620 REDSTONE RIDGE RD
Second Line :
City : MONUMENT
State : CO
Zip : 80132-8265
Country : US
Telephone Number : 561-818-8031
Fax Number : 719-481-9192
Provider Business Practice Location Address
First Line : 7665 ASSISI HTS
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3837
Country : US
Telephone Number : 719-955-7008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2020
Last Update Date : 11/17/2020

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Directions to “ STEPHANIE THERESE WELKER MSW, LCSW” Practice Location

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