| Rk-s,lcsw, Llc | |
|
9796 E Maplewood Cir Englewood CO 80111-7018 | |
| (303) 819-4117 | |
| (303) 270-2174 |
| Full Name | Rk-s,lcsw, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9796 E Maplewood Cir, Englewood, Colorado |
| Authorized Official Name and Position | Renee Kaplan Shepard (OWNER,LLC) |
| Authorized Official Contact | 3038194117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rk-s,lcsw, Llc 9796 E Maplewood Cir Englewood CO 80111-7018 Ph: (303) 819-4117 | Rk-s,lcsw, Llc 9796 E Maplewood Cir Englewood CO 80111-7018 Ph: (303) 819-4117 |
| NPI Number | 1245582329 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 10/12/2012 |
| Medicare PECOS PAC ID | 1153571328 |
|---|---|
| Medicare Enrollment ID | O20121024000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245582329 | NPI | - | NPPES |
| 05201009 | Medicaid | CO | |
| S54160 | Other | CO | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 989867 (Colorado) | Primary |
| Provider Name | Renee Kaplan-shepard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780768267 PECOS PAC ID: 6103942966 Enrollment ID: I20100929000792 |
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