Ann Marie Piscopink, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801063616 Issued in MI

Practice address

1852 Irwin Dr BLDG 1059
Fort Carson, CO 80913-4176

Phone

(719) 524-9570

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Ann Marie Evans Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1841230315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 14TH ST",
            "city": "PENROSE",
            "state": "CO",
            "postal_code": "812409012",
            "telephone_number": "719-784-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 IRWIN DR BLDG 1059",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134176",
            "telephone_number": "719-524-9570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1638 Elwell St",
            "address_2": "Bldg. 6236",
            "address_purpose": "LOCATION",
            "city": "Ft Carson",
            "state": "CO",
            "postal_code": "809134356",
            "country_code": "US",
            "telephone_number": "719-526-2862",
            "fax_number": "719-526-1983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISCOPINK",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "6801063616",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6801063616",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAC-I",
            "identifier": "1-00185",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3RD PARTY IDENTIFIER",
            "identifier": "AE063616",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "EVANS",
            "middle_name": "MARIE",
            "credential": "LMSW, CAADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzanne Toussaint Phillips, PHARMD
• Amanda Pillaca
• Shelby May Pillai, DMD
• Joseph Patrick Pineau, M.D.
• Stacy Lynn Pintor, LCSW
• Brittany Anastacia Pitts, LMSW
• Mark David Poirier, D.O.
• Lisa M Pokorny
• Claribel Polanco, CCC-SLP
• Matthew Mulhall Pontzer, D.O.

• Clinical Social Worker in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.