Provider Demographics
NPI:1013652775
Name:TRESCA, ELIZABETH (SSC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:TRESCA
Suffix:
Gender:F
Credentials:SSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8142 S YORK CT
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3278
Mailing Address - Country:US
Mailing Address - Phone:405-612-4345
Mailing Address - Fax:
Practice Address - Street 1:5265 N ACADEMY BLVD STE 1000
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-4057
Practice Address - Country:US
Practice Address - Phone:970-775-7061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker