Provider Demographics
NPI:1275901126
Name:CUEVAS, MYRNA (LCSW)
Entity Type:Individual
Prefix:
First Name:MYRNA
Middle Name:
Last Name:CUEVAS
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 1:5262 CHERRY BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-6616
Mailing Address - Country:US
Mailing Address - Phone:303-416-0491
Mailing Address - Fax:
Practice Address - Street 1:5262 CHERRY BLOSSOM DR
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-6616
Practice Address - Country:US
Practice Address - Phone:303-416-0491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099283611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical