Goetz, Trisha S

Goetz, Trisha S is an individual health care provider with primary practice located at 3292 Peoria St , Aurora CO 80010-1517. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goetz, Trisha S can be contacted via phone (303) 343-6130.

Contact Information

Primary practice address
3292 Peoria St Aurora CO 80010-1517
Fax: (303) 344-0664
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW.00992613 Colorado
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACC.0006038 Colorado

Profile Details

NPI number 1881728285
LBN Legal business name Goetz, Trisha S
Credentials LCSW, CACIII
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 29th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881728285 NPPES
Colorado MEDICAID 65306058

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