Mr Edward James Klich, LCSW | |
1400 E Boulder St, Colorado Springs, CO 80909-5533 | |
(719) 365-5000 | |
Not Available |
Full Name | Mr Edward James Klich |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 25 Years |
Location | 1400 E Boulder St, Colorado Springs, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538302682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1208-LCSW (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uch-memorial Health System | Colorado springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Mr Edward James Klich, LCSW 6035 Tuckerman Ln, Colorado Springs, CO 80918-1401 Ph: (719) 598-4221 | Mr Edward James Klich, LCSW 1400 E Boulder St, Colorado Springs, CO 80909-5533 Ph: (719) 365-5000 |
Mrs. Rebecca May Clinton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6370 Boscomb Pl, Colorado Springs, CO 80922 Phone: 405-474-9630 | |
Mrs. Raquel Dominguez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5373 N Union Blvd Ste 103, Colorado Springs, CO 80918 Phone: 719-644-6131 | |
Robyn Chapel, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3462 Briargate Blvd, Colorado Springs, CO 80920 Phone: 719-233-2866 | |
Mary J Prinz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340 Fax: 719-447-4791 | |
Jill Ann Karsh, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1843 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-660-5351 | |
Mrs. Maggie Levin Ellias, MSS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5540 Tech Center Dr, Suite 203, Colorado Springs, CO 80919 Phone: 719-548-0100 | |
Mr. Gary Dwayne West, MSW, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2965 Broadmoor Valley Rd, Ste B, Colorado Springs, CO 80906 Phone: 719-576-6617 |