MEDICARE: RENEE KAPLAN-SHEPARD LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	989867	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780768267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE KAPLAN-SHEPARD LCSW

Provider Business Mailing Address
First Line	:	10200 E GIRARD AVE STE D140
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5637
Country	:	US
Telephone Number	:	303-819-4117
Fax Number	:	303-270-2174

Provider Business Practice Location Address
First Line	:	10200 E GIRARD AVE STE D140
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5637
Country	:	US
Telephone Number	:	303-819-4117
Fax Number	:	303-270-2174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	01/13/2020

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