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NPI Code Detail

MEDICARE: SUZANNE ROSCOE LCSW

MEDICARE: SUZANNE ROSCOE 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 WorkerCSW.09928260CO

General Provider Information

NPI Number : 1447849526
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE ROSCOE LCSW
Provider Business Mailing Address
First Line : 4803 BOARDWALK DR STE 120
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3798
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 4803 BOARDWALK DR STE 120
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3798
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2021
Last Update Date : 01/09/2026

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Directions to “ SUZANNE ROSCOE LCSW” Practice Location

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