Provider Demographics
NPI:1760279350
Name:IVERSEN, CATHARINE ROSS
Entity type:Individual
Prefix:
First Name:CATHARINE
Middle Name:ROSS
Last Name:IVERSEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 MONACO PKWY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-2843
Mailing Address - Country:US
Mailing Address - Phone:512-695-5554
Mailing Address - Fax:
Practice Address - Street 1:2150 W 29TH AVE STE 330
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3889
Practice Address - Country:US
Practice Address - Phone:720-261-7042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009926172104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker