Healthcare Provider Details

I. General information

NPI: 1093008500
Provider Name (Legal Business Name): DANIEL MCCARTHY HARTER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2011
Last Update Date: 01/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4353 E COLFAX AVE
DENVER CO
80220-1115
US

IV. Provider business mailing address

4353 E COLFAX AVE
DENVER CO
80220-1115
US

V. Phone/Fax

Practice location:
  • Phone: 303-504-1275
  • Fax:
Mailing address:
  • Phone: 303-504-1275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09923255
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: