Provider Demographics
NPI:1063744894
Name:KIPNIS, ARIEL ALFREDO (LCSW)
Entity type:Individual
Prefix:MR
First Name:ARIEL
Middle Name:ALFREDO
Last Name:KIPNIS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 BRYANT ST
Mailing Address - Street 2:SUITE #210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4130
Mailing Address - Country:US
Mailing Address - Phone:720-252-0345
Mailing Address - Fax:
Practice Address - Street 1:2727 BRYANT ST
Practice Address - Street 2:SUITE #210
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4130
Practice Address - Country:US
Practice Address - Phone:720-252-0345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0793751041C0700X
COCSW.099243031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical