| Carolyn M. Oldewage, Pllc | |
|
23776 Cody Park Rd Golden CO 80401-9317 | |
| (303) 472-4536 | |
| Not Available |
| Full Name | Carolyn M. Oldewage, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 23776 Cody Park Rd, Golden, Colorado |
| Authorized Official Name and Position | Carolyn Oldewage (OWNER/CEO) |
| Authorized Official Contact | 3034724536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn M. Oldewage, Pllc 110 16th St Ste 1460 Denver CO 80202-5202 Ph: (303) 472-4536 | Carolyn M. Oldewage, Pllc 23776 Cody Park Rd Golden CO 80401-9317 Ph: (303) 472-4536 |
| NPI Number | 1720813694 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 09/03/2024 |
| Certification Date | 09/02/2024 |
| Medicare PECOS PAC ID | 0244767556 |
|---|---|
| Medicare Enrollment ID | O20241227001914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720813694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carolyn Marie Oldewage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346542719 PECOS PAC ID: 7517225154 Enrollment ID: I20180103000950 |
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