Provider Demographics
NPI:1912680612
Name:HANE, MELANIE (LCSWA)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:HANE
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S COLORADO BLVD STE 530
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1255
Mailing Address - Country:US
Mailing Address - Phone:720-262-2644
Mailing Address - Fax:720-643-5903
Practice Address - Street 1:400 S COLORADO BLVD STE 530
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1255
Practice Address - Country:US
Practice Address - Phone:720-262-2644
Practice Address - Fax:720-643-5903
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00000003861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical