| Comprehensive Addiction Solutions Llc | |
|
6402 S Troy Circle Suite 340 Centennial CO 80111-8439 | |
| (303) 214-5299 | |
| (303) 389-9423 |
| Full Name | Comprehensive Addiction Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6402 S Troy Circle, Centennial, Colorado |
| Authorized Official Name and Position | Lorraine K. Bockman (OWNER) |
| Authorized Official Contact | 3039462358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Addiction Solutions Llc 6402 S Troy Circle Suite 340 Centennial CO 80111-8439 Ph: (303) 214-5299 | Comprehensive Addiction Solutions Llc 6402 S Troy Circle Suite 340 Centennial CO 80111-8439 Ph: (303) 214-5299 |
| NPI Number | 1033657176 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Medicare PECOS PAC ID | 1254767858 |
|---|---|
| Medicare Enrollment ID | O20200129002990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033657176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 173 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | 991984 (Colorado) | Primary |
| Provider Name | Lorraine Kaye Bockman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376740266 PECOS PAC ID: 5890121495 Enrollment ID: I20200130000019 |
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