| Katherine Ward Lcsw, Inc. | |
|
2617 Juniper Ave Boulder CO 80304-2455 | |
| (303) 999-1364 | |
| Not Available |
| Full Name | Katherine Ward Lcsw, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 2617 Juniper Ave, Boulder, Colorado |
| Authorized Official Name and Position | Katherine B Ward (PRESIDENT) |
| Authorized Official Contact | 3039991364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Ward Lcsw, Inc. 2617 Juniper Ave Boulder CO 80304-2455 Ph: (303) 999-1364 | Katherine Ward Lcsw, Inc. 2617 Juniper Ave Boulder CO 80304-2455 Ph: (303) 999-1364 |
| NPI Number | 1871027631 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 04/18/2017 |
| Medicare PECOS PAC ID | 4082990221 |
|---|---|
| Medicare Enrollment ID | O20170424001713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871027631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17 (Colorado) | Primary |
| Provider Name | Katherine B Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194942730 PECOS PAC ID: 8426334665 Enrollment ID: I20170424001899 |
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