Provider Demographics
NPI:1467888958
Name:MILES, KIRSTEN MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KIRSTEN
Middle Name:MARIE
Last Name:MILES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:KIRSTEN
Other - Middle Name:MARIE
Other - Last Name:WENDTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:899 N LOGAN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3155
Mailing Address - Country:US
Mailing Address - Phone:720-432-3509
Mailing Address - Fax:
Practice Address - Street 1:777 BANNOCK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4507
Practice Address - Country:US
Practice Address - Phone:720-773-0761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker