MEDICARE: EMILY BRETL

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		CO
2	1041C0700X	Clinical Social Worker	CSW.09930975	CO

General Provider Information

NPI Number	:	1588386858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY BRETL

Provider Business Mailing Address
First Line	:	1660 S ALBION ST STE 600
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4044
Country	:	US
Telephone Number	:	720-806-0684
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 S ALBION ST STE 600
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4044
Country	:	US
Telephone Number	:	303-425-0300
Fax Number	:

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

Provider Enumeration Date	:	09/14/2022
Last Update Date	:	10/07/2024

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Directions to “ EMILY BRETL ” Practice Location

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