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NPI Code Detail

MEDICARE: GREYSON SCHACHTERLE LCSW, LAC

MEDICARE: GREYSON SCHACHTERLE LCSW, LAC
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
1104100000XSocial Worker
21041C0700XClinical Social WorkerCSW.09932940
3101YA0400XAddiction (Substance Use Disorder) CounselorACD.0002764CO
4101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1902584519
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREYSON SCHACHTERLE LCSW, LAC
Provider Business Mailing Address
First Line : 4141 E DICKENSON PL
Second Line :
City : DENVER
State : CO
Zip : 80222-6012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4141 E DICKENSON PL
Second Line :
City : DENVER
State : CO
Zip : 80222-6012
Country : US
Telephone Number : 303-504-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2023
Last Update Date : 03/11/2026

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Directions to “ GREYSON SCHACHTERLE LCSW, LAC” Practice Location

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