Individual ProviderGwen KoenigSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1600 Specht Point Rd, Suite 105, Fort Collins, CO 80525-4311(970) 682-0715PECOS EnrollmentBased on the most recent information from CMS, provider Gwen Koenig does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1659818532Provider TypeIndividualFull NameKoenig, GwenCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date1/30/2017Last Updated1/30/2017Contact InformationPractice LocationPractice Address1600 Specht Point Rd, Suite 105, Fort Collins, CO 80525-4311Phone(970) 682-0715FaxUnlisted FaxMailing LocationMailing Address1600 Specht Point Rd, Suite 105, Fort Collins, CO 80525-4311Phone(970) 682-0715FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense00001035Colorado