Basic Information
Provider Information
NPI: 1487385993
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARGIOTTA
FirstName: CLAUDIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5483 STANDARD DR
Address2:  
City: COLORADO SPRINGS
State: CO
PostalCode: 809222377
CountryCode: US
TelephoneNumber: 7193101860
FaxNumber:  
Practice Location
Address1: 3207 N ACADEMY BLVD STE 100
Address2:  
City: COLORADO SPRINGS
State: CO
PostalCode: 809175100
CountryCode: US
TelephoneNumber: 7196325700
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/23/2022
LastUpdateDate: 06/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X.09927936COY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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