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NPI Code Detail

MEDICARE: TRACY ANN JAMISON LCSW

MEDICARE: TRACY ANN JAMISON 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 WorkerCO

General Provider Information

NPI Number : 1730877465
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY ANN JAMISON LCSW
Provider Business Mailing Address
First Line : 1650 COCHRANE CIR
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 719-526-6973
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 719-526-6973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2023
Last Update Date : 06/23/2026

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Directions to “ TRACY ANN JAMISON LCSW” Practice Location

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