Provider Demographics
NPI:1972729366
Name:MCGUFFEE, ANN MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:MCGUFFEE
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 1:14142 DENVER WEST PKWY
Mailing Address - Street 2:SUITE 225
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3189
Mailing Address - Country:US
Mailing Address - Phone:303-237-6865
Mailing Address - Fax:303-237-6873
Practice Address - Street 1:12163 SOUTH PERRY PARK ROAD
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CO
Practice Address - Zip Code:80118
Practice Address - Country:US
Practice Address - Phone:303-681-2400
Practice Address - Fax:303-681-2401
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLCSW 9926971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO23781271Medicaid