Provider Demographics
NPI:1316501190
Name:MATINO, ANN DURANT (LCSW)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:DURANT
Last Name:MATINO
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 1:600 S CHERRY ST STE 217
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1704
Mailing Address - Country:US
Mailing Address - Phone:303-861-1916
Mailing Address - Fax:
Practice Address - Street 1:600 S CHERRY ST STE 217
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1704
Practice Address - Country:US
Practice Address - Phone:303-861-1916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9913071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical