Healthcare Provider Details

I. General information

NPI: 1568306066
Provider Name (Legal Business Name): LINDA MARIE PAYNE LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S COLORADO BLVD STE 530
DENVER CO
80246-1255
US

IV. Provider business mailing address

PO BOX 6262
DENVER CO
80206-0262
US

V. Phone/Fax

Practice location:
  • Phone: 720-262-2644
  • Fax:
Mailing address:
  • Phone: 303-888-5627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009926935
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: