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NPI Code Detail

MEDICARE: LAURA ELLISON-HUTCHINSON M.S.W., LCSW

MEDICARE: LAURA ELLISON-HUTCHINSON M.S.W., 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 Worker2000152228MO
21041C0700XClinical Social Worker3547KS
31041C0700XClinical Social Worker926028CO

General Provider Information

NPI Number : 1477648574
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ELLISON-HUTCHINSON M.S.W., LCSW
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 860 POTOMAC CIR
Second Line :
City : AURORA
State : CO
Zip : 80011-6714
Country : US
Telephone Number : 720-848-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 01/05/2024

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