Individual
ANDREA PUCCIARELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8058 DRY CREEK CIR, NIWOT, CO 80503-8598
(303) 524-0050
(720) 677-5532
Mailing address
8058 DRY CREEK CIR, NIWOT, CO 80503-8598
(303) 524-0050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1128
CO
1041C0700X
Clinical Social Worker
30739
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026HV
BC BS OF TEXAS
TX
01
—
246101
COMPSYCH
—
01
—
503540
VALUE OPTIONS
—
05
—
9000147357
—
CO
01
—
9223591
PHCS
—
Enumeration date
08/30/2006
Last updated
03/28/2023
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