Healthcare Provider Details

I. General information

NPI: 1245582329
Provider Name (Legal Business Name): RK-S,LCSW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2012
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9796 E MAPLEWOOD CIR
ENGLEWOOD CO
80111-7018
US

IV. Provider business mailing address

9796 E MAPLEWOOD CIR
ENGLEWOOD CO
80111-7018
US

V. Phone/Fax

Practice location:
  • Phone: 303-819-4117
  • Fax: 303-270-2174
Mailing address:
  • Phone: 303-819-4117
  • Fax: 303-270-2174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number989867
License Number StateCO

VIII. Authorized Official

Name: RENEE KAPLAN SHEPARD
Title or Position: OWNER,LLC
Credential: LCSW
Phone: 303-819-4117