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NPI Code Detail

MEDICARE: MR. JAMES WILLIAM SALICO-DIEHL LCSW, MSW

MEDICARE:  MR. JAMES WILLIAM SALICO-DIEHL  LCSW, MSW
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.09923598CO

General Provider Information

NPI Number : 1689640989
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES WILLIAM SALICO-DIEHL LCSW, MSW
Provider Business Mailing Address
First Line : 420 S HOWES ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80521-2871
Country : US
Telephone Number : 970-222-9874
Fax Number :
Provider Business Practice Location Address
First Line : 420 S HOWES ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80521-2871
Country : US
Telephone Number : 970-222-9874
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 07/21/2022

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Directions to “ MR. JAMES WILLIAM SALICO-DIEHL LCSW, MSW” Practice Location

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