Provider Demographics
NPI:1407907538
Name:BUCKMAN-HART, ANA SALAS (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANA
Middle Name:SALAS
Last Name:BUCKMAN-HART
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:JUANA
Other - Middle Name:ESTHER
Other - Last Name:SALAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:PO BOX 771
Mailing Address - Street 2:
Mailing Address - City:CENTRAL CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80427-0771
Mailing Address - Country:US
Mailing Address - Phone:303-582-5077
Mailing Address - Fax:
Practice Address - Street 1:5265 VANCE ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3717
Practice Address - Country:US
Practice Address - Phone:303-432-5157
Practice Address - Fax:303-463-1875
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical