Provider Demographics
NPI:1487344818
Name:NOE, AUSTIN (MSW)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:NOE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55
Mailing Address - Street 2:
Mailing Address - City:GUFFEY
Mailing Address - State:CO
Mailing Address - Zip Code:80820-0055
Mailing Address - Country:US
Mailing Address - Phone:214-385-1864
Mailing Address - Fax:
Practice Address - Street 1:302 S 9TH ST
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-3847
Practice Address - Country:US
Practice Address - Phone:719-458-8050
Practice Address - Fax:719-745-7656
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker