Provider Demographics
NPI:1093372757
Name:MALHOTRA, SAIRA K (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SAIRA
Middle Name:K
Last Name:MALHOTRA
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 1:1961 S JOSEPHINE ST APT 102
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-4235
Mailing Address - Country:US
Mailing Address - Phone:602-361-1982
Mailing Address - Fax:
Practice Address - Street 1:6530 S YOSEMITE ST STE 210
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-5128
Practice Address - Country:US
Practice Address - Phone:720-778-4077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-28
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099274661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical