Emily Blair Slough, LCSW

Individual provider Active NPI Clinical Social Worker · Divide, CO

NPI 1427767441 · NPPES record last updated Nov 18, 2022

Key facts

NPI
1427767441
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
67581 (TX)
Practice address
280 Homestead Rd
Divide, CO 80814-8906
Phone
(719) 357-8208
NPI assigned
Nov 17, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
67581TXMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 67581 TX Yes

Addresses

Primary practice location

280 Homestead Rd
Divide, CO 80814-8906

Mailing address

280 Homestead Rd
Divide, CO 80814-8906
Phone (719) 357-8208

Other names

  • Emily Tuchek Former name

Other providers in Divide, CO

All providers in Divide, CO · Clinical Social Worker in Colorado

Sources for this page

Verify at the official NPI Registry.