Provider Demographics
NPI:1275174260
Name:URIOSTESMITH, ANNAMARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNAMARIE
Middle Name:
Last Name:URIOSTESMITH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ANNAMARIE
Other - Middle Name:
Other - Last Name:URIOSTESMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:186 E SPAULDING AVE
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-1882
Mailing Address - Country:US
Mailing Address - Phone:719-452-9234
Mailing Address - Fax:
Practice Address - Street 1:186 E SPAULDING AVE
Practice Address - Street 2:
Practice Address - City:PUEBLO WEST
Practice Address - State:CO
Practice Address - Zip Code:81007-1882
Practice Address - Country:US
Practice Address - Phone:719-452-9234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099240771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical