| Curt Wiedey Msw Lcsw Llc | |
|
3225 Templeton Gap Rd Ste 218 Colorado Springs CO 80907-8714 | |
| (719) 633-4077 | |
| (719) 520-5976 |
| Full Name | Curt Wiedey Msw Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3225 Templeton Gap Rd Ste 218, Colorado Springs, Colorado |
| Authorized Official Name and Position | Curt W Wiedey (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7196334077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Curt Wiedey Msw Lcsw Llc 3225 Templeton Gap Rd Ste 218 Colorado Springs CO 80907-8714 Ph: (719) 633-4077 | Curt Wiedey Msw Lcsw Llc 3225 Templeton Gap Rd Ste 218 Colorado Springs CO 80907-8714 Ph: (719) 633-4077 |
| NPI Number | 1790359297 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 03/28/2022 |
| Certification Date | 03/28/2022 |
| Medicare PECOS PAC ID | 5496154809 |
|---|---|
| Medicare Enrollment ID | O20210603003354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790359297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Curt W Wiedey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639220742 PECOS PAC ID: 2769667922 Enrollment ID: I20110503000631 |
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