Provider Demographics
NPI:1376380139
Name:ARNDT, LARA ELIZABETH (SWC, LSW ON 8/4/24)
Entity type:Individual
Prefix:
First Name:LARA
Middle Name:ELIZABETH
Last Name:ARNDT
Suffix:
Gender:F
Credentials:SWC, LSW ON 8/4/24
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2406 HAMPSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-5221
Mailing Address - Country:US
Mailing Address - Phone:206-354-5252
Mailing Address - Fax:
Practice Address - Street 1:221 E 29TH ST STE 201
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2746
Practice Address - Country:US
Practice Address - Phone:970-528-5825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00000019831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical