Provider Demographics
NPI:1215476965
Name:COVELL, CYNTHIA RUTH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:RUTH
Last Name:COVELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3527 N MARION ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-3956
Mailing Address - Country:US
Mailing Address - Phone:303-564-3520
Mailing Address - Fax:720-777-7380
Practice Address - Street 1:13100 E COLFAX AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-5517
Practice Address - Country:US
Practice Address - Phone:720-777-7468
Practice Address - Fax:720-777-7380
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical