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NPI Code Detail

MEDICARE: ALEXANDRA MIDGLEY LCSW

MEDICARE: ALEXANDRA MIDGLEY 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
11041C0700XClinical Social WorkerCSW.09925322CO

General Provider Information

NPI Number : 1649769654
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA MIDGLEY LCSW
Provider Business Mailing Address
First Line : 10148 W 55TH DR UNIT 101
Second Line :
City : ARVADA
State : CO
Zip : 80002-4974
Country : US
Telephone Number : 646-761-0584
Fax Number :
Provider Business Practice Location Address
First Line : 2111 CHAMPA ST
Second Line :
City : DENVER
State : CO
Zip : 80205-2529
Country : US
Telephone Number : 303-312-2217
Fax Number : 303-293-2309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2018
Last Update Date : 05/04/2018

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Directions to “ ALEXANDRA MIDGLEY LCSW” Practice Location

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