MEDICARE: KATRINA ABBOTT MSW, SWC

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.09932716	CO

General Provider Information

NPI Number	:	1437906377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA ABBOTT MSW, SWC

Provider Business Mailing Address
First Line	:	9249 S BROADWAY
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-5690
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9249 S BROADWAY
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-5690
Country	:	US
Telephone Number	:	720-507-3189
Fax Number	:

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

Provider Enumeration Date	:	04/30/2024
Last Update Date	:	03/19/2026

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