Healthcare Provider Details

I. General information

NPI: 1053918326
Provider Name (Legal Business Name): JENNA RANAE KAPP LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2020
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 S HARRISON ST STE 1200
DENVER CO
80210-3955
US

IV. Provider business mailing address

4318 E UTAH PL
DENVER CO
80222-4425
US

V. Phone/Fax

Practice location:
  • Phone: 720-432-2364
  • Fax:
Mailing address:
  • Phone: 720-432-2364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0009922611
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09928909
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: