Provider Demographics
NPI:1356040265
Name:WHITLATCH-LOPEZ, CARLA ANAIZ (MS, MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:ANAIZ
Last Name:WHITLATCH-LOPEZ
Suffix:
Gender:
Credentials:MS, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14901 E HAMPDEN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5037
Mailing Address - Country:US
Mailing Address - Phone:720-260-4115
Mailing Address - Fax:
Practice Address - Street 1:14901 E HAMPDEN AVE STE 100
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5037
Practice Address - Country:US
Practice Address - Phone:720-260-4115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099315161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical