Provider Demographics
NPI:1083659544
Name:MCGARVIN, LUCINDA S (LCSW)
Entity Type:Individual
Prefix:
First Name:LUCINDA
Middle Name:S
Last Name:MCGARVIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6874 S FRANKLIN CIR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-1322
Mailing Address - Country:US
Mailing Address - Phone:307-421-4451
Mailing Address - Fax:720-379-4414
Practice Address - Street 1:6150 NTH ELBERT PL
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134
Practice Address - Country:US
Practice Address - Phone:307-421-4451
Practice Address - Fax:720-379-4414
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLCSW2821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY118292700Medicaid
WY800014241OtherRAILROAD
WYW9563Medicare PIN