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Kathleen Gladys Mckinney

Social Worker

Behavioral Health & Social Service Providers

5131 S College Ave, Fort Collins, CO 80525-3968

PECOS Enrollment

This provider is enrolled in PECOS as KATHLEEN MCKINNEY.

Based on the most recent information from CMS, provider Kathleen Gladys Mckinney is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1255684692
Provider Type
Individual
Full Name
Mckinney, Kathleen Gladys
Credential
PH.D., LSW, CSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/23/2012
Last Updated
2/9/2017

Contact Information

Practice Location

5131 S College Ave, Fort Collins, CO 80525-3968

(970) 305-2399

(970) 236-9260

Mailing Location

4217 Wellington Dr, Fort Collins, CO 80526-5252

(970) 556-2729

(970) 236-9260

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CSW-9923084 Colorado
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License LSW-243 Colorado

Provider Identifiers

ID	Description	Issuer
ID 14146383	Description Other	Issuer ANTHEM/BLUE CROSS Colorado

Kathleen Gladys Mckinney

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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