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NPI Code Detail

MEDICARE: MRS. ANN MARIE PISCOPINK LMSW

MEDICARE:  MRS. ANN MARIE PISCOPINK  LMSW
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 Worker6801063616
21041C0700XClinical Social Worker6801063616MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16801063616OTHERMISTATE LICENSE
21-00185OTHERMICAC-I
3AE063616OTHERMI3RD PARTY IDENTIFIER

General Provider Information

NPI Number : 1841230315
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANN MARIE PISCOPINK LMSW
Provider Business Mailing Address
First Line : 1814 14TH ST
Second Line :
City : PENROSE
State : CO
Zip : 81240-9012
Country : US
Telephone Number : 719-784-7626
Fax Number :
Provider Business Practice Location Address
First Line : 1852 IRWIN DR BLDG 1059
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4176
Country : US
Telephone Number : 719-524-9570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 02/03/2021

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Directions to “ MRS. ANN MARIE PISCOPINK LMSW” Practice Location

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