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Nicole Marie Bishop

Social Worker

Behavioral Health & Social Service Providers

11024 Twenty Mile Rd # Bh8-104, Parker, CO 80134-5125

PECOS Enrollment

This provider is enrolled in PECOS as NICOLE BISHOP.

Based on the most recent information from CMS, provider Nicole Marie Bishop is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 10:04 AM.

Profile Details

Provider ID
1194502922
Provider Type
Individual
Full Name
Bishop, Nicole Marie
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/14/2023
Last Updated
1/15/2025

Contact Information

Practice Location

11024 Twenty Mile Rd # Bh8-104, Parker, CO 80134-5125

(720) 862-6504

Unlisted Fax

Mailing Location

834f S Perry St # 1341, Castle Rock, CO 80104-1936

(720) 878-9459

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 09930520 Colorado

Nicole Marie Bishop

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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