1801449038 NPI number — EUTRAPELIA LINN RYAN MSW, LCSW

Table of content: EUTRAPELIA LINN RYAN MSW, LCSW (NPI 1801449038)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801449038 NPI number — EUTRAPELIA LINN RYAN MSW, LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RYAN
Provider First Name:
EUTRAPELIA
Provider Middle Name:
LINN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW, LCSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PROCTOR
Provider Other First Name:
J LAYNE
Provider Other Middle Name:
RYAN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1801449038
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/29/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 S STEELE ST STE 950
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80209-2843
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-588-2058
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2121 S ONEIDA ST STE 600
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80224-2555
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-863-6100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/17/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  CSW.09927972 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)