Individual
MRS. ANN MARIE PISCOPINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1852 IRWIN DR BLDG 1059, FORT CARSON, CO 80913-4176
(719) 524-9570
Mailing address
1814 14TH ST, PENROSE, CO 81240-9012
(719) 784-7626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801063616
MI
1041C0700X
Clinical Social Worker
6801063616
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-00185
CAC-I
MI
01
—
6801063616
STATE LICENSE
MI
01
—
AE063616
3RD PARTY IDENTIFIER
MI
Enumeration date
06/06/2006
Last updated
02/03/2021
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