MEDICARE: CARISSA WESTERFIELD 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	1041C0700X	Clinical Social Worker	CSW00000673	CO

General Provider Information

NPI Number	:	1619371242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARISSA WESTERFIELD LCSW

Provider Business Mailing Address
First Line	:	1660 S ALBION ST STE 500
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4043
Country	:	US
Telephone Number	:	303-378-0075
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 S ALBION ST STE 500
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4043
Country	:	US
Telephone Number	:	303-378-0075
Fax Number	:

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

Provider Enumeration Date	:	10/10/2014
Last Update Date	:	10/10/2014

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Directions to “ CARISSA WESTERFIELD LCSW” Practice Location

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