Provider Demographics
NPI:1609900919
Name:MEYER, DARAH H (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:DARAH
Middle Name:H
Last Name:MEYER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13001 E 17TH PL
Mailing Address - Street 2:BUILDING 500 2 WEST
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2570
Mailing Address - Country:US
Mailing Address - Phone:303-724-9417
Mailing Address - Fax:303-724-9472
Practice Address - Street 1:13001 E 17TH PL
Practice Address - Street 2:BUILDING 500 2 WEST
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2570
Practice Address - Country:US
Practice Address - Phone:303-724-9417
Practice Address - Fax:303-724-9472
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.000013601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH08258Medicare UPIN