| Susan Conceicao Llc | |
|
10154 Grove Loop Unit C Westminster CO 80031-6797 | |
| (720) 477-0743 | |
| Not Available |
| Full Name | Susan Conceicao Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10154 Grove Loop Unit C, Westminster, Colorado |
| Authorized Official Name and Position | Susan Conceicao (OWNER/MANAGER) |
| Authorized Official Contact | 7204770743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Conceicao Llc 10154 Grove Loop Unit C Westminster CO 80031-6797 Ph: (720) 477-0743 | Susan Conceicao Llc 10154 Grove Loop Unit C Westminster CO 80031-6797 Ph: (720) 477-0743 |
| NPI Number | 1023777620 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 12/10/2021 |
| Certification Date | 12/10/2021 |
| Medicare PECOS PAC ID | 8426449125 |
|---|---|
| Medicare Enrollment ID | O20220106000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023777620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Susan Conceicao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124274287 PECOS PAC ID: 5597832196 Enrollment ID: I20220106000186 |
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