Active NPI 1730320557 Individual Practitioner Male Practitioner

Frederick Elias Persiko , M DIV, CACITI

Social Worker • Basalt, CO

Professional Overview & Biography Verified Profile Summary

Frederick Persiko, M DIV, CACITI is a registered healthcare professional specializing in Social Worker in Basalt, CO. Practice services are available at 23400 TWO RIVERS ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23400 Two Rivers Road
#49

Basalt, CO 81621

Telephone 9709275357

Fax 9709273467

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Basalt, CO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

7 Specialists

Practicing in Basalt, CO (1830 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MI 6807010854

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License CO 2810

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 09, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 09, 2009

Registered at 23400 TWO RIVERS ROAD, #49, BASALT, CO 81621 (Tel: 9709275357)

📍

Updated Business Mailing Address March 09, 2009

Registered at P.O. BOX 138, BASALT, CO 81621 (Tel: 9709275357)

👤

Provider Name / Credentials Updated March 09, 2009

Recorded as FREDERICK PERSIKO, M DIV., CACITI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2009

Counselor (License #2810 in CO)

🟢

Initial NPI Registration & Enumeration March 09, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730320557

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 09, 2009

Last Update: March 09, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

P.o. Box 138

Basalt, CO 81621

Phone: 9709275357

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.