Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. FREDERICK ELIAS PERSIKO, M DIV., CACITI

Active

MR. FREDERICK ELIAS PERSIKO, M DIV., CACITI is a Social Worker healthcare provider located in BASALT, Colorado. NPI 1730320557 is currently active in the NPPES registry. Verify at CMS.

Social Worker · BASALT, CO

Registration Details

NPI Number: 1730320557
Provider Type: Individual
Gender: Male
NPI Issued: Mar 9, 2009 (17.403687794281 yrs)
Last Updated: Mar 9, 2009
Licenses: 2810 (CO)

6807010854 (MI)

Practice Information

Address: 23400 TWO RIVERS ROAD

#49

BASALT, CO, 81621
Browse CO providers · Browse ZIP 81621
Phone: 9709275357
Fax: 9709273467
Primary Specialty: Social Worker
104100000X
Additional Specialty: Social Worker

Other Social Worker Providers in BASALT, CO

Name	Credential	NPI
KARMEN M PITTENGER	MSW	1285263327
SKYLAR SEVERSON	—	1811514334
ELIZABETH NIX	SW-C	1619699741
RACHEL MATHESON	SWC	1780467696
RENEE MARIE PRINCE	MSW, LSW	1316811425
STEPHANIE ROSE GORMAN	MSW, SWC	1407719800

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.