Provider Demographics
NPI:1073067047
Name:WENDY J. KLEIN LCSW
Entity Type:Organization
Organization Name:WENDY J. KLEIN LCSW
Other - Org Name:WENDY J KLEIN, LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-204-0489
Mailing Address - Street 1:4770 E ILIFF AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6049
Mailing Address - Country:US
Mailing Address - Phone:303-204-0489
Mailing Address - Fax:303-757-7994
Practice Address - Street 1:4770 E ILIFF AVE STE 115
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6049
Practice Address - Country:US
Practice Address - Phone:303-204-0489
Practice Address - Fax:303-757-7994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO69785040Medicaid