MEDICARE: SALLA KATRIINA PIRHONEN 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
1	1041C0700X	Clinical Social Worker	CSW.00001022	CO
2	1041S0200X	School Social Worker	342484	CO

General Provider Information

NPI Number	:	1346857059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALLA KATRIINA PIRHONEN MSW, LCSW

Provider Business Mailing Address
First Line	:	13265 RARITAN ST
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-1444
Country	:	US
Telephone Number	:	303-324-0343
Fax Number	:

Provider Business Practice Location Address
First Line	:	13265 RARITAN ST
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-1444
Country	:	US
Telephone Number	:	303-324-0343
Fax Number	:

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

Provider Enumeration Date	:	09/26/2020
Last Update Date	:	09/26/2020

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