Provider Demographics
NPI:1952927238
Name:MCQUITTY, ROBYN JANE (LCSW, LAC)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:JANE
Last Name:MCQUITTY
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:JANE
Other - Last Name:CHANCE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC, LSW
Mailing Address - Street 1:90 CORONA ST SUITE 1404
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218
Mailing Address - Country:US
Mailing Address - Phone:720-447-5285
Mailing Address - Fax:
Practice Address - Street 1:90 CORONA ST SUITE 1404
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218
Practice Address - Country:US
Practice Address - Phone:720-441-3143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-22
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0001935101YA0400X
101YA0400X
CO0009922979104100000X
COCSW.099291511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0009922979OtherLSW
CO9000200991Medicaid