NPI 1609233410 · live from the CMS NPI Registry
Adult Youth Services
Social Worker in Colorado Springs, CO. National Provider Identifier 1609233410, active.
NPI record
| NPI | 1609233410 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 223 N Wahsatch Ave, Ste 101, Colorado Springs, CO 80903 |
| Practice phone | 719-442-1779 |
| Enumerated | January 25, 2016 |
| Last updated | January 25, 2016 |
| Authorized official | Mary Gupton-Johnson, Owner/Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — |
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.