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NPI Code Detail

MEDICARE: AUDREY BAECKER

MEDICARE: AUDREY BAECKER
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 WorkerCSW.09932512CO

General Provider Information

NPI Number : 1912646332
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY BAECKER
Provider Business Mailing Address
First Line : 4242 DELAWARE ST
Second Line :
City : DENVER
State : CO
Zip : 80216-2618
Country : US
Telephone Number : 303-825-8113
Fax Number :
Provider Business Practice Location Address
First Line : 4242 DELAWARE ST
Second Line :
City : DENVER
State : CO
Zip : 80216-2618
Country : US
Telephone Number : 303-825-8113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2022
Last Update Date : 02/20/2026

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Directions to “ AUDREY BAECKER ” Practice Location

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