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NPI Code Detail

MEDICARE: CAMINOS A CASA LLC

MEDICARE: CAMINOS A CASA LLC
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 Worker

General Provider Information

NPI Number : 1750273165
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMINOS A CASA LLC
Provider Business Mailing Address
First Line : 4869 BROADWAY ST
Second Line :
City : BOULDER
State : CO
Zip : 80304-0523
Country : US
Telephone Number : 720-235-8242
Fax Number :
Provider Business Practice Location Address
First Line : 4869 BROADWAY ST
Second Line :
City : BOULDER
State : CO
Zip : 80304-0523
Country : US
Telephone Number : 720-235-8242
Fax Number :
Authorized Official
Title or Position : CLINICAL SERVICES MANAGER
Name : ROBYN STEUBER
Credential :
Telephone Number : 720-235-8242
Provider Enumeration Date : 07/18/2025
Last Update Date : 07/18/2025

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