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NPI Code Detail

MEDICARE: KRISTEN MELANIE EVANS LCSW

MEDICARE: KRISTEN MELANIE EVANS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorACB.0008226CO
2104100000XSocial WorkerLSW.0009922572CO
31041C0700XClinical Social WorkerCSW.09927600CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255704722
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN MELANIE EVANS LCSW
Provider Business Mailing Address
First Line : 10350 E DAKOTA AVE
Second Line :
City : DENVER
State : CO
Zip : 80247-1314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14701 E EXPOSITION AVE
Second Line :
City : AURORA
State : CO
Zip : 80012-2623
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2015
Last Update Date : 02/06/2026

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