Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cedra D Etesam, LSW

Individual provider Clinical Social Worker · NPI 1306558184

Cedra D Etesam, LSW is a Clinical Social Worker in Ignacio, Colorado. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2022
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

15682 State Highway 172 Lot 34
Ignacio, CO 81137-9742
Phone: (970) 426-9591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4101 County Road 222, Durango, CO 81303-6703 — (970) 563-2297

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0009925857 (CO)

Record details

NPI number1306558184
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedDecember 23, 2022
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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