Provider Demographics
NPI:1235290248
Name:STEVENS, AMY MCCARTY (LCSW, CAC II)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:MCCARTY
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LCSW, CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4594 S AKRON ST
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1239
Mailing Address - Country:US
Mailing Address - Phone:303-779-0506
Mailing Address - Fax:303-778-2436
Practice Address - Street 1:2465 S DOWNING ST
Practice Address - Street 2:SUITE 110
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5822
Practice Address - Country:US
Practice Address - Phone:303-778-5774
Practice Address - Fax:303-778-2436
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3720101YA0400X
CO9912451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO3720OtherCERT. ADDICTIONS COUNSELO
CO991245OtherLCSW LICENSE