Healthcare Provider Details

I. General information

NPI: 1396094082
Provider Name (Legal Business Name): MEGHAN CITO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2012
Last Update Date: 06/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11005 RALSTON RD
ARVADA CO
80004
US

IV. Provider business mailing address

8465 S HOLLAND WAY UNIT 307
LITTLETON CO
80128-6708
US

V. Phone/Fax

Practice location:
  • Phone: 303-431-0844
  • Fax:
Mailing address:
  • Phone: 303-956-6202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: