Provider Demographics
NPI:1386948495
Name:RAFFO, ZULMA M (LCSW)
Entity type:Individual
Prefix:
First Name:ZULMA
Middle Name:M
Last Name:RAFFO
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 1:155 INVERNESS DR W
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5095
Mailing Address - Country:US
Mailing Address - Phone:303-797-9343
Mailing Address - Fax:303-797-9345
Practice Address - Street 1:155 INVERNESS DR W
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-4108
Practice Address - Country:US
Practice Address - Phone:303-779-9676
Practice Address - Fax:303-889-4800
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ138881041C0700X
COCSW099233621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical