Sara Tori Defazio, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lafayette, Colorado. She graduated from healthcare school in 2022 and has 3 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1455 Dixon Ave, Lafayette, Colorado. You can reach out to her office (for appointments etc.) via phone at
(203) 517-6667.
Sara Tori Defazio is licensed to practice in Colorado (license number CSW.09931368) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1275202137.
Healthcare Provider's Profile
| Full Name | Sara Tori Defazio |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 3 Years |
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| Location | 1455 Dixon Ave, Lafayette, Colorado |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sara Tori Defazio graduated from medical school in 2022
NPI Data:
- NPI Number: 1275202137
- Provider Enumeration Date: 09/13/2021
- Last Update Date: 03/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749788552
- Enrollment ID: I20250811003898
Medical Identifiers
Medical identifiers for Sara Tori Defazio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275202137 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LSW.0009924545 (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09931368 (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. Sara Tori Defazio is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sara Tori Defazio, LCSW
1455 Dixon Ave,
Lafayette, CO 80026-8879
Ph: (303) 443-8500 | Sara Tori Defazio, LCSW
1455 Dixon Ave,
Lafayette, CO 80026-8879
Ph: (203) 517-6667 |
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