MEDICARE: SHELSEA L OCHOA

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

General Provider Information

NPI Number	:	1578347837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELSEA L OCHOA

Provider Business Mailing Address
First Line	:	1350 JOSEPHINE ST APT 102
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-2241
Country	:	US
Telephone Number	:	720-218-4823
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 JOSEPHINE ST APT 102
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-2241
Country	:	US
Telephone Number	:	720-218-4823
Fax Number	:

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

Provider Enumeration Date	:	08/18/2023
Last Update Date	:	08/18/2023

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Directions to “ SHELSEA L OCHOA ” Practice Location

Language	Start Address	Practice Location

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