Healthcare Provider Details

I. General information

NPI: 1154470730
Provider Name (Legal Business Name): MISTI ANNE KLARENBEEK-MCKENNA MSW, LCSW, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7651 W 41ST AVE SUITE 200
WHEAT RIDGE CO
80033-4565
US

IV. Provider business mailing address

7651 W 41ST AVE SUITE 200
WHEAT RIDGE CO
80033-4565
US

V. Phone/Fax

Practice location:
  • Phone: 303-503-5295
  • Fax: 303-432-2297
Mailing address:
  • Phone: 303-503-5295
  • Fax: 303-432-2297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number992993
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number775
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: