Healthcare Provider Details

I. General information

NPI: 1386415917
Provider Name (Legal Business Name): KAYLN ZITA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 DELAWARE ST
DENVER CO
80204-3610
US

IV. Provider business mailing address

2195 DECATUR ST STE 1
DENVER CO
80211-5183
US

V. Phone/Fax

Practice location:
  • Phone: 720-772-8432
  • Fax:
Mailing address:
  • Phone: 720-837-1262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904017556
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09928721
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: