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NPI Code Detail

MEDICARE: TRACEY ANDREWS LCSW PC

MEDICARE: TRACEY ANDREWS LCSW PC
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 Worker989537CO
2101YA0400XAddiction (Substance Use Disorder) Counselor2480CO

General Provider Information

NPI Number : 1467537936
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRACEY ANDREWS LCSW PC
Provider Business Mailing Address
First Line : 1720 S BELLAIRE STREET
Second Line : STE 906
City : DENVER
State : CO
Zip : 80222-4333
Country : US
Telephone Number : 303-691-9220
Fax Number : 303-777-7651
Provider Business Practice Location Address
First Line : 1720 S BELLAIRE STREET
Second Line : STE 906
City : DENVER
State : CO
Zip : 80222-4333
Country : US
Telephone Number : 303-691-9220
Fax Number : 303-777-7651
Authorized Official
Title or Position : PRESIDENT
Name : TRACEY ANDREWS
Credential : MSW LCSW CAC III
Telephone Number : 303-691-9220
Provider Enumeration Date : 10/25/2006
Last Update Date : 09/11/2025

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