Provider Demographics
NPI:1255373510
Name:KIEKHAEFER, TAMARA ANNE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:ANNE
Last Name:KIEKHAEFER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5660 GREENWOOD PLAZA BLVD
Mailing Address - Street 2:#506
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2416
Mailing Address - Country:US
Mailing Address - Phone:720-488-6288
Mailing Address - Fax:720-488-6701
Practice Address - Street 1:5660 GREENWOOD PLAZA BLVD
Practice Address - Street 2:#506
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2416
Practice Address - Country:US
Practice Address - Phone:720-488-6288
Practice Address - Fax:720-488-6701
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO9930661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical