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SHINE FITNESS NPI 1841678836


NPI Information

NPI: 1841678836
Provider Name: SHINE FITNESS

Doing Business As: SHINE INTEGRATED THERAPY

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
3035 W 25TH AVE
DENVER, CO
ZIP 80211
Phone: (303) 455-2409
Get Directions

SHINE FITNESS is a clinical social worker in Denver, CO. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. SHINE FITNESS NPI is 1841678836. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Shine Integrated Therapy.

The provider's business location address is:

3035 W 25TH AVE
DENVER, CO
ZIP 80211-635
Phone: (303) 455-2409

The provider's authorized official is Elizabeth Anne Clark .
The authorized official title is Therapist and has the following contact phone number (303) 455-2409.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 5/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical992361COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1992361OTHERCOLORADOLICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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