Ms J Nicol Pate Eisenberg, LCSW is a
Social Worker - Clinical based in Breckenridge, Colorado. Ms J Nicol Pate Eisenberg is licensed to practice in Colorado (license number 1175) and her current practice location is
106 North French St., Suite #210-3, Breckenridge, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 406-8191.
NPI number for Ms J Nicol Pate Eisenberg is 1730276452 and her current mailing address is Po Box 56, Breckenridge, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730276452.
Healthcare Provider's Profile
| Full Name | Ms J Nicol Pate Eisenberg |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 106 North French St., Breckenridge, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730276452
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 12/12/2008
Medical Identifiers
Medical identifiers for Ms J Nicol Pate Eisenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730276452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | I-05236 (New Mexico) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1175 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms J Nicol Pate Eisenberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms J Nicol Pate Eisenberg, LCSW
Po Box 56,
Breckenridge, CO 80424-0056
Ph: (970) 406-8191 | Ms J Nicol Pate Eisenberg, LCSW
106 North French St., Suite #210-3,
Breckenridge, CO 80424
Ph: (970) 406-8191 |
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