Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CEDRA D ETESAM, LSW
ActiveCEDRA D ETESAM, LSW is a Clinical Social Worker healthcare provider located in IGNACIO, Colorado. NPI 1306558184 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · IGNACIO, CO
Registration Details
- NPI Number
- 1306558184
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 23, 2022 (3.4574361742907 yrs)
- Last Updated
- Apr 22, 2025
- License
-
0009925857 (CO)
Practice Information
- Address
-
15682 STATE HIGHWAY 172 LOT 34IGNACIO, CO, 811379742Browse CO providers · Browse ZIP 81137
- Phone
- 9704269591
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in IGNACIO, CO
| Name | Credential | NPI |
|---|---|---|
| HANNAH MARIE NUSZ | LMSW | 1275805533 |
| AARON EDENSHAW | LCSW | 1730544099 |
| TERRENCE RIOS WORD | LCSW | 1982405932 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.