=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346619350
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MCNAMEE & ASSOCIATES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2015
-----------------------------------------------------
Last Update Date | 09/20/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5347 S VALENTIA WAY STE 120
-----------------------------------------------------
City | GREENWOOD VILLAGE
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80111-3107
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-618-4833
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 151104
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80215-9104
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-618-4833
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/DIRECTOR
-----------------------------------------------------
Name | SARAH MCNAMEE
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 720-618-4833
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | CSW 1471
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------