| Robin Ennis, Lcsw, Llc | |
|
7887 E Belleview Ave Ste 1100 Englewood CO 80111-6097 | |
| (720) 722-3981 | |
| Not Available |
| Full Name | Robin Ennis, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7887 E Belleview Ave Ste 1100, Englewood, Colorado |
| Authorized Official Name and Position | Robin L. Ennis (OWNER/THERAPIST) |
| Authorized Official Contact | 7207223981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robin Ennis, Lcsw, Llc 7887 E Belleview Ave Ste 1100 Englewood CO 80111-6097 Ph: (720) 722-3981 | Robin Ennis, Lcsw, Llc 7887 E Belleview Ave Ste 1100 Englewood CO 80111-6097 Ph: (720) 722-3981 |
| NPI Number | 1609458124 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 04/23/2021 |
| Certification Date | 04/23/2021 |
| Medicare PECOS PAC ID | 4688073356 |
|---|---|
| Medicare Enrollment ID | O20210528002209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609458124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robin Ennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780982934 PECOS PAC ID: 4880001684 Enrollment ID: I20210323001301 |
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