Healthcare Provider Details

I. General information

NPI: 1518105451
Provider Name (Legal Business Name): DANIELLE RENEE KALEITA LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2009
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3141 CENTENNIAL BLVD
COLORADO SPRINGS CO
80907-4094
US

IV. Provider business mailing address

7710 DUTCH LOOP
COLORADO SPRINGS CO
80925-9459
US

V. Phone/Fax

Practice location:
  • Phone: 719-227-4551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSW.0009925885
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: