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NPI Code Detail

MEDICARE: NICOLE AUSSIN LSW

MEDICARE: NICOLE AUSSIN LSW
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 WorkerLSW0009927056CO
21041C0700XClinical Social WorkerMSW011164GA

General Provider Information

NPI Number : 1578331856
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE AUSSIN LSW
Provider Business Mailing Address
First Line : 3329 E BAYAUD AVE APT 1412A
Second Line :
City : DENVER
State : CO
Zip : 80209-3153
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 MADISON ST STE 240
Second Line :
City : DENVER
State : CO
Zip : 80206-5451
Country : US
Telephone Number : 720-574-9391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2023
Last Update Date : 12/17/2025

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Directions to “ NICOLE AUSSIN LSW” Practice Location

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