Healthcare Provider Details

I. General information

NPI: 1225444268
Provider Name (Legal Business Name): MARGARET KLEIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2014
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 38TH ST STE 100E
BOULDER CO
80301-2624
US

IV. Provider business mailing address

1650 38TH ST STE 100E
BOULDER CO
80301-2624
US

V. Phone/Fax

Practice location:
  • Phone: 720-295-0059
  • Fax:
Mailing address:
  • Phone: 720-295-0059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09926223
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009922030
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1225444268
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerNPI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: