| Trudy C Dawson Msw Lcsw Pc | |
|
7035 Campus Dr Ste 808 Colorado Springs CO 80920-6527 | |
| (719) 377-2118 | |
| Not Available |
| Full Name | Trudy C Dawson Msw Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 7035 Campus Dr Ste 808, Colorado Springs, Colorado |
| Authorized Official Name and Position | Trudy Dawson (OWNER) |
| Authorized Official Contact | 7193772118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trudy C Dawson Msw Lcsw Pc 4760 Flintridge Dr Ste 250 Colorado Springs CO 80918-4264 Ph: () - | Trudy C Dawson Msw Lcsw Pc 7035 Campus Dr Ste 808 Colorado Springs CO 80920-6527 Ph: (719) 377-2118 |
| NPI Number | 1588832398 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 02/16/2021 |
| Certification Date | 02/16/2021 |
| Medicare PECOS PAC ID | 8527955939 |
|---|---|
| Medicare Enrollment ID | O20040301001166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588832398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 986050 (Colorado) | Primary |
| Provider Name | Trudy C Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083640189 PECOS PAC ID: 5597652909 Enrollment ID: I20041027001161 |
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