MEDICARE: REBECCA STANDIG 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
1	104100000X	Social Worker	CSW.09932992	CO

General Provider Information

NPI Number	:	1568248383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA STANDIG LCSW

Provider Business Mailing Address
First Line	:	1312 17TH ST UNIT 2836
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1508
Country	:	US
Telephone Number	:	720-336-0364
Fax Number	:

Provider Business Practice Location Address
First Line	:	1312 17TH ST UNIT 2836
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1508
Country	:	US
Telephone Number	:	720-336-0364
Fax Number	:

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

Provider Enumeration Date	:	09/06/2023
Last Update Date	:	04/17/2026

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