MEDICARE: MARC LOUIS ESCHLER L.C.S.W.

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	1091	CO

General Provider Information

NPI Number	:	1518036276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARC LOUIS ESCHLER L.C.S.W.

Provider Business Mailing Address
First Line	:	4141 E DICKENSON PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-6012
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1556 WILLIAMS ST
Second Line	:	SUITE 201
City	:	DENVER
State	:	CO
Zip	:	80218-1661
Country	:	US
Telephone Number	:	720-255-0676
Fax Number	:	720-255-0676

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	12/24/2015

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