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NPI Code Detail

MEDICARE: SUZANNAH LYNN HART LCSW

MEDICARE:   SUZANNAH LYNN HART  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 Worker9923142CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1296822OTHERCOMEDICARE ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CSW.09923142OTHERCOPROFESSIONAL LICENSE

General Provider Information

NPI Number : 1356784623
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNAH LYNN HART LCSW
Provider Business Mailing Address
First Line : 2323 S TROY ST STE 3-107
Second Line :
City : AURORA
State : CO
Zip : 80014-1982
Country : US
Telephone Number : 720-432-9151
Fax Number :
Provider Business Practice Location Address
First Line : 2323 S TROY ST STE 3-107
Second Line :
City : AURORA
State : CO
Zip : 80014-1982
Country : US
Telephone Number : 720-432-9151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2013
Last Update Date : 06/01/2021

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Directions to “ SUZANNAH LYNN HART LCSW” Practice Location

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