Healthcare Provider Details

I. General information

NPI: 1871919993
Provider Name (Legal Business Name): LAURA ANNE HARTER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2014
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4141 E DICKENSON PL
DENVER CO
80222
US

IV. Provider business mailing address

3201 S TAMARAC DR JEWISH FAMILY SERVICE OF COLORADO
DENVER CO
80231-4394
US

V. Phone/Fax

Practice location:
  • Phone: 303-504-6500
  • Fax:
Mailing address:
  • Phone: 720-248-4595
  • Fax: 303-597-7700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09923476
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: