Individual provider · Type 1 NPI

Frederick Elias Persiko, M DIV., CACITI

Social Worker · Basalt, CO

NPI number 1730320557 Active

Practice location

23400 Two Rivers Road, #49
Basalt, CO 81621

Fax (970) 927-3467

Mailing address

P.o. Box 138
Basalt, CO 81621

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X2810 (CO)
Social Worker Primary 104100000X6807010854 (MI)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1730320557

Frederick Elias Persiko, M DIV., CACITI's National Provider Identifier is 1730320557, issued on Mar 9, 2009. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Basalt, CO. The record was last updated on Mar 9, 2009.