Provider Demographics
NPI:1851767966
Name:MAURER, MELISSA SUE (LCSW)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:SUE
Last Name:MAURER
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 1:6099 S QUEBEC ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4545
Mailing Address - Country:US
Mailing Address - Phone:720-442-2720
Mailing Address - Fax:
Practice Address - Street 1:6099 S QUEBEC ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-4545
Practice Address - Country:US
Practice Address - Phone:720-442-2720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099237411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical