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NPI Code Detail

MEDICARE: KATI SAUL LCSW

MEDICARE: KATI SAUL 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 Worker6801093225MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700201001
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATI SAUL LCSW
Provider Business Mailing Address
First Line : 4975 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-5043
Country : US
Telephone Number : 719-419-3939
Fax Number : 719-419-3939
Provider Business Practice Location Address
First Line : 4975 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-5043
Country : US
Telephone Number : 719-419-3939
Fax Number : 719-419-3939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2014
Last Update Date : 11/03/2022

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