Provider Demographics
NPI:1629743521
Name:MCSPADDEN, KATIE L (LSW)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:L
Last Name:MCSPADDEN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1442 S OAKLAND ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4235
Mailing Address - Country:US
Mailing Address - Phone:720-213-6364
Mailing Address - Fax:
Practice Address - Street 1:1442 S OAKLAND ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4235
Practice Address - Country:US
Practice Address - Phone:720-213-6364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099301971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical