MEDICARE: HANNAH EPPLEY 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	CSW.09930902	CO

General Provider Information

NPI Number	:	1710704713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH EPPLEY LCSW

Provider Business Mailing Address
First Line	:	2721 HARVEST PARK LN
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-3225
Country	:	US
Telephone Number	:	303-523-5303
Fax Number	:

Provider Business Practice Location Address
First Line	:	2850 MCCLELLAND DR STE 3400
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2572
Country	:	US
Telephone Number	:	866-285-2929
Fax Number	:

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

Provider Enumeration Date	:	09/23/2024
Last Update Date	:	09/23/2024

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