Provider Demographics
NPI:1306728449
Name:AMENT, KAREN LISA (MSS, LSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LISA
Last Name:AMENT
Suffix:
Gender:F
Credentials:MSS, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9634 SORREL RD
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-9117
Mailing Address - Country:US
Mailing Address - Phone:215-913-3606
Mailing Address - Fax:
Practice Address - Street 1:2590 WELTON ST STE 200
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4268
Practice Address - Country:US
Practice Address - Phone:833-338-0088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00099245591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical