MEDICARE: MS. KATHARINE B RASE MSW, 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	983045	CO

General Provider Information

NPI Number	:	1902926876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHARINE B RASE MSW, LCSW

Provider Business Mailing Address
First Line	:	600 S CHERRY ST
Second Line	:	SUITE 840
City	:	GLENDALE
State	:	CO
Zip	:	80246-1702
Country	:	US
Telephone Number	:	303-321-4155
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 S CHERRY ST
Second Line	:	SUITE 840
City	:	GLENDALE
State	:	CO
Zip	:	80246-1702
Country	:	US
Telephone Number	:	303-321-4155
Fax Number	:

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

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	11/20/2012

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