MEDICARE: ABRIELLA OLGUIN LSW

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	104100000X	Social Worker	0009926505	CO

General Provider Information

NPI Number	:	1376407387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABRIELLA OLGUIN LSW

Provider Business Mailing Address
First Line	:	661 W 123RD AVE UNIT 7104
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-1851
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12213 PECOS ST STE 300
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-3414
Country	:	US
Telephone Number	:	720-948-8861
Fax Number	:

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

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/15/2025

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