| Melinda Harriman, Lcsw Llc | |
|
7800 S Elati St Ste 319 Littleton CO 80120-4456 | |
| (720) 514-1444 | |
| Not Available |
| Full Name | Melinda Harriman, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7800 S Elati St, Littleton, Colorado |
| Authorized Official Name and Position | Melinda Harriman (OWNER) |
| Authorized Official Contact | 7205141444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Harriman, Lcsw Llc 7800 S Elati St Ste 319 Littleton CO 80120-4456 Ph: (720) 514-1444 | Melinda Harriman, Lcsw Llc 7800 S Elati St Ste 319 Littleton CO 80120-4456 Ph: (720) 514-1444 |
| NPI Number | 1033560081 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 04/06/2023 |
| Certification Date | 04/06/2023 |
| Medicare PECOS PAC ID | 8729372065 |
|---|---|
| Medicare Enrollment ID | O20160809001060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033560081 | NPI | - | NPPES |
| 17125065 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW.00989972 (Colorado) | Primary |
| Provider Name | Melinda Harriman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952577942 PECOS PAC ID: 5890966998 Enrollment ID: I20110921000728 |
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