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
-
Ashley L Hood, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
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
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- 2Lazy2, LLC
- A Clean Team, LLC
- A Conscious Path Counseling, LLC
- A Home for Life, Inc
- A Life Worth Living
- A Life Worth Living
- A Life Worth Living
- A New Experience Child and Family Counseling LLC
- A North Star
All providers in Fort Collins, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.