Provider Demographics
NPI:1821214206
Name:WALTER, AMITY M (MSW)
Entity Type:Individual
Prefix:
First Name:AMITY
Middle Name:M
Last Name:WALTER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 S STEELE ST STE 377
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2808
Mailing Address - Country:US
Mailing Address - Phone:303-419-8400
Mailing Address - Fax:303-200-9239
Practice Address - Street 1:50 S STEELE ST STE 377
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2808
Practice Address - Country:US
Practice Address - Phone:303-419-8400
Practice Address - Fax:303-200-9239
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099234721041C0700X
MI68101080337101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical