Individual provider · Type 1 NPI

Philip Tedeschi, LCSW

Clinical Social Worker · Boulder, CO

NPI number 1487446928 Active

Practice location

1035 Pearl St Ste 313
Boulder, CO 80302-5130

Mailing address

1035 Pearl St Ste 308
Boulder, CO 80302-5130

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X00991061 (CO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1487446928

Philip Tedeschi, LCSW's National Provider Identifier is 1487446928, issued on May 20, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on May 20, 2025.