NPI 1972082303 · live from the CMS NPI Registry
Joshua Aevum, LCSW
Social Worker, Clinical in Colorado Springs, CO. National Provider Identifier 1972082303, active.
NPI record
| NPI | 1972082303 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 445 East Cheyenne Mt. Blvd, Ste C Pmb #153, Colorado Springs, CO 80906 |
| Practice phone | 719-425-5026 |
| Enumerated | August 7, 2018 |
| Last updated | September 18, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | CSW.09923557 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.