Joseph Tyler Antico, LCSW is a
Social Worker - Clinical based in Silverthorne, Colorado. Joseph Tyler Antico is licensed to practice in Colorado (license number CSW.09929713) and his current practice location is
998 Blue River Pkwy, Silverthorne, Colorado. He can be reached at his office (for appointments etc.) via phone at
(970) 439-4714.
NPI number for Joseph Tyler Antico is 1922754696 and his current mailing address is Po Box 308, Alma, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922754696.
Healthcare Provider's Profile
| Full Name | Joseph Tyler Antico |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 998 Blue River Pkwy, Silverthorne, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922754696
- Provider Enumeration Date: 02/22/2022
- Last Update Date: 10/23/2023
Medical Identifiers
Medical identifiers for Joseph Tyler Antico such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922754696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | 24395401 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09929713 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joseph Tyler Antico is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Joseph Tyler Antico, LCSW
Po Box 308,
Alma, CO 80420-0308
Ph: (404) 922-1862 | Joseph Tyler Antico, LCSW
998 Blue River Pkwy,
Silverthorne, CO 80498-8958
Ph: (970) 439-4714 |
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