| Jo Frederic Lcsw Inc | |
|
132 Silver Fox Ct Greenwood Village CO 80121-2123 | |
| (303) 721-8999 | |
| (303) 221-5453 |
| Full Name | Jo Frederic Lcsw Inc |
|---|---|
| Speciality | Social Worker |
| Location | 132 Silver Fox Ct, Greenwood Village, Colorado |
| Authorized Official Name and Position | Linda Jo Frederic (OWNER) |
| Authorized Official Contact | 3037218999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jo Frederic Lcsw Inc 132 Silver Fox Ct Greenwood Village CO 80121-2123 Ph: (303) 721-8999 | Jo Frederic Lcsw Inc 132 Silver Fox Ct Greenwood Village CO 80121-2123 Ph: (303) 721-8999 |
| NPI Number | 1851676233 |
|---|---|
| Provider Enumeration Date | 10/17/2011 |
| Last Update Date | 10/17/2011 |
| Medicare PECOS PAC ID | 8729252341 |
|---|---|
| Medicare Enrollment ID | O20111117000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851676233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Linda Jo Frederic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427013549 PECOS PAC ID: 4284791302 Enrollment ID: I20090317000323 |
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