| John F Dick, Lcsw, Pc | |
|
130 E Monument St Colorado Springs CO 80903-1061 | |
| (719) 389-0609 | |
| (719) 389-0464 |
| Full Name | John F Dick, Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 130 E Monument St, Colorado Springs, Colorado |
| Authorized Official Name and Position | John F Dick (PRESIDENT) |
| Authorized Official Contact | 7193890609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John F Dick, Lcsw, Pc 130 E Monument St Colorado Springs CO 80903-1061 Ph: (719) 389-0609 | John F Dick, Lcsw, Pc 130 E Monument St Colorado Springs CO 80903-1061 Ph: (719) 389-0609 |
| NPI Number | 1780958991 |
|---|---|
| Provider Enumeration Date | 03/06/2012 |
| Last Update Date | 03/18/2014 |
| Medicare PECOS PAC ID | 4880912286 |
|---|---|
| Medicare Enrollment ID | O20150415001516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780958991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 989015 (Colorado) | Primary |
| Provider Name | John Dick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780784397 PECOS PAC ID: 8426204611 Enrollment ID: I20150219000321 |
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