Provider Demographics
NPI:1386415917
Name:ZITA, KAYLN (LCSW)
Entity type:Individual
Prefix:
First Name:KAYLN
Middle Name:
Last Name:ZITA
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 1:2195 DECATUR ST STE 1
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5183
Mailing Address - Country:US
Mailing Address - Phone:720-837-1262
Mailing Address - Fax:
Practice Address - Street 1:1212 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-3610
Practice Address - Country:US
Practice Address - Phone:720-772-8432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040175561041C0700X
COCSW.099287211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty