Randy Andersen, LCSW | |
4371 E 72nd Ave, Commerce City, CO 80022-1471 | |
(303) 853-3500 | |
Not Available |
Full Name | Randy Andersen |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 4371 E 72nd Ave, Commerce City, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083095392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 989387 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.00989387 (Colorado) | Primary |
Entity Name | Community Reach Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316906886 PECOS PAC ID: 4284526971 Enrollment ID: O20040326001266 |
Mailing Address | Practice Location Address |
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Randy Andersen, LCSW 1870 W 122nd Ave Ste 100, Westminster, CO 80234-2075 Ph: (303) 853-3500 | Randy Andersen, LCSW 4371 E 72nd Ave, Commerce City, CO 80022-1471 Ph: (303) 853-3500 |
Alice Riley, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10497 Ouray St, Commerce City, CO 80022 Phone: 720-505-1148 | |
Eva Hobson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10102 Xanadu St, Commerce City, CO 80022 Phone: 303-725-8956 | |
Tcua Mindy Heu, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15612 E 96th Way Unit 24h, Commerce City, CO 80022 Phone: 720-818-0835 | |
Ms. Lori Lucia Donley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4675 E 69th Ave, Commerce City, CO 80022 Phone: 303-289-1086 | |
Cynthia L Trujillo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7150 Poplar St, Commerce City, CO 80022 Phone: 303-278-7418 | |
Brittany Rosales, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7251 E 49th Ave, Commerce City, CO 80022 Phone: 303-321-2533 |