MEDICARE: ALICIA O MARTEL LSW

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	104100000X	Social Worker	0009925338	CO

General Provider Information

NPI Number	:	1851144125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA O MARTEL LSW

Provider Business Mailing Address
First Line	:	4700 E KENTUCKY AVE APT 316
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80246-2012
Country	:	US
Telephone Number	:	563-506-3695
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 S JACKSON ST STE 505
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-3184
Country	:	US
Telephone Number	:	866-232-7328
Fax Number	:

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

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	04/08/2024

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Directions to “ ALICIA O MARTEL LSW” Practice Location

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