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General NPI Number Information
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NPI Number | 1548909393
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Entity Type | Individual
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Provider Name | CASEY KENNEDY COUNTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 899 N LOGAN ST STE 406
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City | DENVER
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State | CO
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Zip | 80203-3155
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Country | US
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Telephone | 720-664-8927
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Fax | 720-224-9502
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Provider Business Mailing Address
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Address Line | 899 N LOGAN ST STE 406
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City | DENVER
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State | CO
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Zip | 80203-3155
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Country | US
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Telephone | 720-664-8927
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Fax | 720-224-9502
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09932011
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License Number State | CO
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