Provider Demographics
NPI:1780921783
Name:SVITAK, KADY (LCSW)
Entity type:Individual
Prefix:
First Name:KADY
Middle Name:
Last Name:SVITAK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KADY
Other - Middle Name:
Other - Last Name:LEIBOVITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4330
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-4330
Mailing Address - Country:US
Mailing Address - Phone:970-926-6340
Mailing Address - Fax:970-926-6348
Practice Address - Street 1:323 W MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-5966
Practice Address - Country:US
Practice Address - Phone:970-926-6340
Practice Address - Fax:970-926-6348
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0156171041C0700X
COCSW.099255111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical