MEDICARE: AMAYA ADAMCHESKI 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	LSW.0009926456	CO
2	390200000X	Student in an Organized Health Care Education/Training Program
3	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1417729187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMAYA ADAMCHESKI LSW

Provider Business Mailing Address
First Line	:	221 E 29TH ST STE 201
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-2746
Country	:	US
Telephone Number	:	970-310-3406
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 E 29TH ST STE 201
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-2746
Country	:	US
Telephone Number	:	970-310-3406
Fax Number	:

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

Provider Enumeration Date	:	10/26/2023
Last Update Date	:	03/05/2026

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