Provider Demographics
NPI:1801449038
Name:RYAN, EUTRAPELIA LINN (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:EUTRAPELIA
Middle Name:LINN
Last Name:RYAN
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:J LAYNE
Other - Middle Name:RYAN
Other - Last Name:PROCTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 S STEELE ST STE 950
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2843
Mailing Address - Country:US
Mailing Address - Phone:720-588-2058
Mailing Address - Fax:
Practice Address - Street 1:2121 S ONEIDA ST STE 600
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2555
Practice Address - Country:US
Practice Address - Phone:720-863-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-17
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099279721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical