A Life Empowered, LLC

Organization Active NPI Clinical Social Worker · Fort Collins, CO

NPI 1013475748 · NPPES record last updated Mar 12, 2019

Key facts

NPI
1013475748
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
A LIFE EMPOWERED, LLC
Practice address
612 Powderhorn Dr
Fort Collins, CO 80526-2607
Phone
(970) 214-8965
NPI assigned
Mar 12, 2019
Organization subpart
No

Authorized official

Name
Ashley L Hood, LCSW
Title
Owner
Phone
(970) 214-8965

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190502000329 CO Part B Supplier - Clinic/Group Practice 9739421280 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

612 Powderhorn Dr
Fort Collins, CO 80526-2607

Mailing address

612 Powderhorn Dr
Fort Collins, CO 80526-2607
Phone (970) 214-8965

Other providers in Fort Collins, CO

All providers in Fort Collins, CO · Clinical Social Worker in Colorado

Sources for this page

Verify at the official NPI Registry.