=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255454195
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LOUISE CAROLINE MACPHERSON MSW, LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/07/2007
-----------------------------------------------------
Last Update Date | 02/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 777 BANNOCK ST
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80204-4597
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 844-493-8255
-----------------------------------------------------
Fax | 303-602-4560
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 777 BANNOCK ST
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80204-4597
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 844-493-8255
-----------------------------------------------------
Fax | 303-602-4560
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | CSW.00001326
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------