Provider Demographics
NPI:1639327968
Name:ZETLIN, PATTI (LCSW)
Entity Type:Individual
Prefix:
First Name:PATTI
Middle Name:
Last Name:ZETLIN
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 1:951 S FULTON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1926
Mailing Address - Country:US
Mailing Address - Phone:303-753-5556
Mailing Address - Fax:303-343-8320
Practice Address - Street 1:951 S FULTON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-1926
Practice Address - Country:US
Practice Address - Phone:303-753-5556
Practice Address - Fax:303-343-8320
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9910651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO871755323OtherUNITED HEALTHCARE