Provider Demographics
NPI:1225775786
Name:MEHLMAN, MADISON FAY (LCSW)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:FAY
Last Name:MEHLMAN
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 1:1330 N LOGAN ST UNIT 104
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2309
Mailing Address - Country:US
Mailing Address - Phone:720-248-7176
Mailing Address - Fax:
Practice Address - Street 1:1330 N LOGAN ST UNIT 104
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2309
Practice Address - Country:US
Practice Address - Phone:720-248-7176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-17
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty