Provider Demographics
NPI:1538786884
Name:MARDER, ABBY J (LSW)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:J
Last Name:MARDER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8405 CHURCH RANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3918
Mailing Address - Country:US
Mailing Address - Phone:303-466-7391
Mailing Address - Fax:303-466-0904
Practice Address - Street 1:3801 E FLORIDA AVE STE 107
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2538
Practice Address - Country:US
Practice Address - Phone:720-863-6012
Practice Address - Fax:720-763-9785
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0009923035104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker