Provider Demographics
NPI:1316322472
Name:HARTWYK, KYLE (MSW)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:HARTWYK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:KYLE
Other - Middle Name:
Other - Last Name:STEINKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:2810 N SPEER BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4225
Mailing Address - Country:US
Mailing Address - Phone:720-454-0439
Mailing Address - Fax:
Practice Address - Street 1:2810 N SPEER BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4225
Practice Address - Country:US
Practice Address - Phone:720-454-0439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC0013637104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker