Hani Ahmad, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Colorado Springs, CO

NPI 1497973077 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497973077
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
989086 (CO)
Practice address
218 E Cache la Poudre St
Colorado Springs, CO 80903-2903
Phone
(719) 578-9811
Fax
(719) 633-7295
NPI assigned
Apr 21, 2007
Sex
Male
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
989086COMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 989086 CO Yes

Addresses

Primary practice location

218 E Cache la Poudre St
Colorado Springs, CO 80903-2903

Mailing address

218 E Cache la Poudre St
Colorado Springs, CO 80903-2903
Phone (719) 578-9811

Other providers in Colorado Springs, CO

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

Sources for this page

Verify at the official NPI Registry.