Prudencio Cosyleon, LCSW | |
417 W 13th St, Pueblo, CO 81003-2703 | |
(719) 544-0877 | |
(719) 544-2033 |
Full Name | Prudencio Cosyleon |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 417 W 13th St, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083775498 | NPI | - | NPPES |
350465YLQP | Other | CO | MEDICARE |
02259800 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 991432 (Colorado) | Primary |
Entity Name | Pueblo Community Health Center Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770529950 PECOS PAC ID: 4284543802 Enrollment ID: O20031104000171 |
Mailing Address | Practice Location Address |
---|---|
Prudencio Cosyleon, LCSW 110 E Routt Ave, Pueblo, CO 81004-2117 Ph: (719) 543-8711 | Prudencio Cosyleon, LCSW 417 W 13th St, Pueblo, CO 81003-2703 Ph: (719) 544-0877 |
James Arthur Hull, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1002 Cedar St, Pueblo, CO 81004 Phone: 719-545-0578 | |
Ms. Mary Alice Mehess, LCSW, LAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Tamar Ct, Pueblo, CO 81005 Phone: 719-568-2531 | |
Karen Marie Irick, LCSW, LAC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1530 W 17th St, Pueblo, CO 81003 Phone: 719-544-3150 | |
Justin M Gay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4776 Eagleridge Cir, Pueblo, CO 81008 Phone: 719-584-5183 Fax: 719-584-5496 | |
Amy Joan Alsum, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4112 Outlook Blvd Ste 96, Pueblo, CO 81008 Phone: 719-776-6850 Fax: 719-776-6855 | |
Patricia Pacheco, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1591 Taos Rd, Pueblo, CO 81006 Phone: 719-545-2746 Fax: 719-195-4541 |