Healthcare Provider Details

I. General information

NPI: 1093372757
Provider Name (Legal Business Name): SAIRA K MALHOTRA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2019
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2238 S BROADWAY STE 2R
DENVER CO
80210-4419
US

IV. Provider business mailing address

1961 S JOSEPHINE ST APT 102
DENVER CO
80210-4235
US

V. Phone/Fax

Practice location:
  • Phone: 720-634-6573
  • Fax:
Mailing address:
  • Phone: 602-361-1982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09927466
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: