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NPI Code Detail

MEDICARE: ELIZABETH WASSERMAN LCSW, INHC

MEDICARE: ELIZABETH WASSERMAN LCSW, INHC
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
1104100000XSocial Worker077037NY
21041C0700XClinical Social Worker7336CT
31041C0700XClinical Social Worker1796CO

General Provider Information

NPI Number : 1649554320
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH WASSERMAN LCSW, INHC
Provider Business Mailing Address
First Line : 250 FILLMORE ST UNIT 150
Second Line :
City : DENVER
State : CO
Zip : 80206-5001
Country : US
Telephone Number : 855-217-7205
Fax Number :
Provider Business Practice Location Address
First Line : 250 FILLMORE ST UNIT 150
Second Line :
City : DENVER
State : CO
Zip : 80206-5001
Country : US
Telephone Number : 855-217-7205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2011
Last Update Date : 04/27/2023

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