| Clinical Social Work, Pllc | |
|
3000 Wedgewood Dr # 2215 Pueblo CO 81005-2300 | |
| (719) 900-5279 | |
| Not Available |
| Full Name | Clinical Social Work, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3000 Wedgewood Dr # 2215, Pueblo, Colorado |
| Authorized Official Name and Position | Trevor Gates-crandall (LCSW) |
| Authorized Official Contact | 7199005279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Social Work, Pllc 3000 Wedgewood Dr # 2215 Pueblo CO 81005-2300 Ph: (719) 900-5279 | Clinical Social Work, Pllc 3000 Wedgewood Dr # 2215 Pueblo CO 81005-2300 Ph: (719) 900-5279 |
| NPI Number | 1962144667 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 04/12/2022 |
| Certification Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962144667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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